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Individual

MRS. MICHELLE COIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.T.

Contact information

Practice address
8259 WICKER AVE, SAINT JOHN, IN 46373-8878
(800) 870-4540
(219) 365-6561
Mailing address
3574 N 850 W, MICHIGAN CITY, IN 46360-9341
(219) 210-3709

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31002996A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000378651
ANTHEM
IN
Enumeration date
10/02/2006
Last updated
09/27/2010
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