Individual
CASSANDRA MACKENZIE COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
4444 NEW MARKET BANTA RD, LEWISBURG, OH 45338-9744
(937) 212-1998
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA008244
OH
Other
Enumeration date
11/20/2024
Last updated
12/03/2024
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