Individual
BRANDON COATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 W 5TH ST, YUMA, AZ 85364-2945
(928) 502-7800
(928) 502-7818
Mailing address
4037 W 14TH ST, YUMA, AZ 85364-4068
(260) 564-4278
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007551
AZ
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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