Individual
MRS. VICTORIA ANN COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2320 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5316
(865) 273-8323
Mailing address
1043 BARTLETT DR, JEFFERSON CITY, TN 37760-3861
(865) 603-4772
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
01/27/2019
Last updated
01/27/2019
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