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Individual

AARON ROSS COFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
63 HOSPITALITY LN, SUITE 1, MINERAL WELLS, WV 26150-6704
(304) 489-8100
(304) 489-8191
Mailing address
415 36TH ST, SUITE 100, PARKERSBURG, WV 26101-1005
(304) 917-3660
(304) 917-3674

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 013110
OH
225100000X
Physical Therapist
Primary
PT002865
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0061220
OH
05
3810022820
WV
Enumeration date
12/09/2010
Last updated
05/27/2016
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