Individual
DEBRA K COAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
905 E MAIN ST, OLNEY, IL 62450-2623
(618) 393-7732
Mailing address
704 LINCOLN ST, NEWTON, IL 62448-1826
(217) 232-5184
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
160.003869
IL
Other
Enumeration date
07/21/2011
Last updated
07/21/2011
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