Individual
MAXWELL LOGAN COULTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
199 WASHINGTON ST, DOYLESTOWN, PA 18901-4036
(843) 902-0367
Mailing address
199 WASHINGTON ST, DOYLESTOWN, PA 18901-4036
(843) 902-0367
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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