Individual
CRISTIN COAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
64 DANBURY RD, STE 100, WILTON, CT 06897-4429
(800) 278-0332
Mailing address
64 DANBURY RD, STE 100, WILTON, CT 06897-4429
(800) 278-0332
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2014037276
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014037276
PTA
MO
Enumeration date
06/17/2015
Last updated
06/17/2015
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