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Individual

DR. JODI SUZANNE COFFEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT, PT

Contact information

Practice address
508 COLUMBIA CIR, HOPE, AR 71801-8046
(870) 777-0545
Mailing address
508 COLUMBIA CIR, HOPE, AR 71801-8046
(870) 777-0545

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2705
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
150666721
AR
Enumeration date
01/23/2007
Last updated
08/06/2008
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