Individual
CHAUCEY COIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4111 PARK PLACE DR, FORT WAYNE, IN 46845-6002
(260) 373-2111
Mailing address
16737 DARLING RD, WOODBURN, IN 46797-9760
(260) 557-4350
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010589A
IN
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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