Individual
NICOLE COGHLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3821 WILSON BLVD, ARLINGTON, VA 22203-1981
(703) 294-6875
Mailing address
1111 ARMY NAVY DR APT 313, ARLINGTON, VA 22202-2009
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006844
VA
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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