Individual
MISS CAROL COGHLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R.L
Contact information
Practice address
551 W LANCASTER AVE, HAVERFORD, PA 19041-1419
(610) 525-4000
(610) 526-6750
Mailing address
56104 DELAIRE LANDING, PHILADELPHIA, PA 19114
(215) 612-8584
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC005435L
PA
225X00000X
Occupational Therapist
U10000997
DE
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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