Individual
JAN D COFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
8000 TOBIN PL, RALEIGH, NC 27612-1915
(919) 417-0801
Mailing address
8000 TOBIN PL, RALEIGH, NC 27612-1915
(919) 417-0801
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5333
TN
2251G0304X
Geriatric Physical Therapist
1204133
TX
2251G0304X
Geriatric Physical Therapist
Primary
P11475
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446566
—
NC
05
—
0446566
—
TN
01
—
3123654
BCBSTN
TN
Enumeration date
09/28/2006
Last updated
03/23/2012
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