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Individual

BRENDA J COAKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
9190 PRIORITY WAY WEST DR STE 110, INDIANAPOLIS, IN 46240-1437
(317) 805-4963
(317) 818-0720
Mailing address
9190 PRIORITY WAY WEST DR STE 110, INDIANAPOLIS, IN 46240-1437
(317) 805-4963
(317) 818-0720

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06000104A
IN

Other

Enumeration date
05/21/2009
Last updated
05/21/2009
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