Individual
MRS. STEPHANIE M. COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5537 205TH LN, MELROSE, IA 52569-8507
(641) 891-9863
Mailing address
5537 205TH LN, MELROSE, IA 52569-8507
(641) 891-9863
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004786
IA
Other
Enumeration date
10/13/2005
Last updated
12/30/2011
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