Individual
GEORGE MICHAEL COUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11600 ELDRIDGE AVE, LAKE VIEW TERRACE, CA 91342-6506
(646) 634-9180
Mailing address
11600 ELDRIDGE AVE, LAKE VIEW TERRACE, CA 91342-6506
(646) 634-9180
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/17/2021
Last updated
05/01/2025
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