Individual
AGATHA COATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6504 ROSALIE LN, RIVERDALE, MD 20737-1785
(301) 351-9317
Mailing address
6504 ROSALIE LN, RIVERDALE, MD 20737-1785
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602822
VA
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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