Individual
TARA JEAN COATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
500 1ST ST N, NEWTON, IA 50208-3119
(641) 791-5000
Mailing address
1174 160TH ST, VICTOR, IA 52347-8558
(319) 430-1367
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00364
IA
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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