Individual
MR. JAMES WESLEY COULTER
Active
Individual
MR. JAMES WESLEY COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070002845
IL
2251X0800X
Orthopedic Physical Therapist
Primary
070-002845
IL
Other
Enumeration date
03/24/2006
Last updated
03/17/2018
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