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Individual

JAMES PATRICK COUGHLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
9830 I-70 FRONTAGE ROAD SOUTH, WHEAT RIDGE, CO 80033
(303) 467-4100
(303) 420-0836
Mailing address
9830 I-70 FRONTAGE ROAD SOUTH, WHEAT RIDGE, CO 80033
(303) 467-4100
(303) 420-0836

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5428
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
69931232
CO
Enumeration date
06/24/2006
Last updated
10/28/2010
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