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Individual

LAUREN COUGHLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
49 W MAIN ST, AVON, CT 06001-3717
(860) 284-9779
Mailing address
PO BOX 421, AVON, CT 06001-0421

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
002858
CT

Other

Enumeration date
03/19/2007
Last updated
12/09/2013
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