Individual
JEFFREY DAVID COUTANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2321 NEWBURG RD, FORTUNA, CA 95540-2815
(707) 725-4467
(707) 725-1848
Mailing address
2321 NEWBURG RD, FORTUNA, CA 95540-2815
(707) 725-4467
(707) 725-1848
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1257
CA
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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