Individual
CHARLIE COENEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6908 N SANTA MONICA BLVD, FOX POINT, WI 53217-3942
(414) 352-2082
Mailing address
2950 CLEARWATER LN APT 204, WAUKESHA, WI 53189-6895
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16719-24
WI
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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