Individual
BARBARA COAXUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7051 W. PASSYUNK AVE, PHILADELPHIA, PA 19142-1724
(215) 492-1223
(215) 492-1080
Mailing address
7051 PASSYUNK AVE, PHILADELPHIA, PA 19142-1724
(215) 492-1223
(215) 492-1080
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL-001655-L
PA
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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