Individual
EMILY GOLD COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
20000 VICTOR PKWY STE 100, LIVONIA, MI 48152
(734) 743-2909
Mailing address
20000 VICTOR PKWY STE 100, LIVONIA, MI 48152-7027
(734) 743-2909
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000822
MI
Other
Enumeration date
07/19/2016
Last updated
11/06/2019
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