Individual
MR. MATTHEW COHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT/L, RN
Contact information
Practice address
1918 SW CASCADE FALLS DR, ANKENY, IA 50023-7098
(515) 943-4255
Mailing address
1918 SW CASCADE FALLS DR, ANKENY, IA 50023-7098
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01717
IA
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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