Individual
CATHY L COGHLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
204 W WARREN ST, ROBERTS, WI 54023-9617
(715) 749-3890
(715) 749-4081
Mailing address
204 W WARREN ST, PO BOX 220, ROBERTS, WI 54023-9617
(715) 749-3890
(715) 749-4081
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102261
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
083H8CO
BCBS
MN
01
—
64-01215
MEDICA
MN
01
—
HP57053
HEALTHPARTNERS
MN
Enumeration date
10/26/2006
Last updated
07/14/2010
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