Individual
DEBRA COFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3565 AUSTELL RD SW, SUITE 11, MARIETTA, GA 30008-5769
(770) 319-8000
(770) 319-8730
Mailing address
3565 AUSTELL RD SW, SUITE 11, MARIETTA, GA 30008-5769
(770) 319-8000
(770) 319-8730
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT001987
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00560106C
—
GA
Enumeration date
02/22/2007
Last updated
07/09/2007
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