Individual
JUSTINE COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
545 W DAYTON ST, MADISON, WI 53703-1967
(608) 663-1879
Mailing address
7301 ARCTIC FOX DR, MADISON, WI 53719-6223
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4929-27
WI
Other
Enumeration date
05/18/2017
Last updated
05/11/2026
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