Individual
ALLISON ELIZABETH COBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6239 S EAST ST STE A, INDIANAPOLIS, IN 46227-2088
(317) 791-9031
Mailing address
7726 HEATHERDOWN CT, INDIANAPOLIS, IN 46259-8733
(317) 642-9841
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/09/2018
Last updated
12/09/2018
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