Individual
MRS. RAVEN COFFIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2001 ROUTE 17M, GOSHEN, NY 10924-5241
(845) 458-8661
Mailing address
PO BOX 780, GREENWOOD LAKE, NY 10925-0780
(347) 893-4207
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011037-01
NY
Other
Enumeration date
07/02/2025
Last updated
07/22/2025
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