Individual
KRYSTIN MARIE COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
641 33RD AVE NE, GREAT FALLS, MT 59404-1114
(406) 952-1450
Mailing address
314 SUNSET AVE, GLENDIVE, MT 59330-2839
(406) 365-7023
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1056
MT
Other
Enumeration date
11/19/2008
Last updated
07/31/2009
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