Individual
MRS. NIKKI LYNN COYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1015 LAUREL VALLEY DR SW, MARIETTA, GA 30064-3973
(304) 280-0815
Mailing address
1015 LAUREL VALLEY DR SW, MARIETTA, GA 30064-3973
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
009240
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
393730
BCBS OF GA
GA
Enumeration date
02/15/2007
Last updated
03/18/2008
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