Individual
DR. SHANNON E COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
12023 GOSHEN AVE APT 1, LOS ANGELES, CA 90049-6316
(401) 573-6784
Mailing address
12023 GOSHEN AVE APT 1, LOS ANGELES, CA 90049-6316
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
41567
CA
Other
Enumeration date
11/16/2014
Last updated
11/16/2014
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