Individual
MRS. TOBIAN MARIAN COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
120 W 106TH ST, NEW YORK, NY 10025-3923
(212) 870-5000
Mailing address
102 SCOLES AVE, CLIFTON, NJ 07012-1120
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008729-1
NY
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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