Individual
MADISON COLETTE COOMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
2125 BARRITT ST, LANSING, MI 48912-3631
(517) 862-7741
Mailing address
2125 BARRITT ST, LANSING, MI 48912-3631
(517) 862-7741
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
81534
MI
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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