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Individual

MS. ANNE COFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
S77W12929 MCSHANE DR, MUSKEGO, WI 53150-4039
(414) 529-0100
Mailing address
12810 W MEADOW LN, NEW BERLIN, WI 53151-1834
(262) 785-6206

Taxonomy

Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
4401-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40251000
WI
Enumeration date
03/28/2007
Last updated
07/08/2007
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