Individual
MRS. ELIZABETH ANNE COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
90 WEST ST, WILMINGTON, MA 01887-3039
(197) 865-8270
Mailing address
90 WEST ST, WILMINGTON, MA 01887-3039
(197) 865-8270
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9055
MA
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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