Individual
FREDERICK COAKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8971 FORT CRESTWOOD DR, LAS VEGAS, NV 89129-3639
(424) 307-7118
Mailing address
8971 FORT CRESTWOOD DR, LAS VEGAS, NV 89129-3639
(424) 307-7118
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
NV
Other
Enumeration date
03/17/2018
Last updated
03/17/2018
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