Individual
MR. DEREK COUGHENOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
UNIVERSITY DRIVE C, SUITE 132YA, VA PITTSBURGH HEALTHCARE SYSTEM, PITTSBURGH, PA 15240
(412) 360-3028
Mailing address
110 SUNCREST COURT, CANONSBURG, PA 15317-4865
(412) 980-5836
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016528
PA
Other
Enumeration date
06/07/2006
Last updated
06/18/2010
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