Individual
CAROLYN ROSE COATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4435 RONALD REAGAN BLVD, JOHNSTOWN, CO 80534-6566
(650) 380-4504
Mailing address
4435 RONALD REAGAN BLVD, JOHNSTOWN, CO 80534-6566
(650) 380-4504
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
462406
CO
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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