Individual
JUSTIN COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2415 5TH AVE S, ESCANABA, MI 49829-1201
(906) 786-6907
Mailing address
5625 WILDER RD, VASSAR, MI 48768-9707
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501017907
MI
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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