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Individual

JAN D COFER

Active
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Individual

JAN D COFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

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
Update your record

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