Individual
MRS. SHAWNEE G COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
215 DAVIS RD, OSSIAN, IN 46777
(260) 622-7821
(260) 622-4370
Mailing address
10525 E SWAN RD, LAOTTO, IN 46763
(260) 897-2471
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002714A
IN
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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