Individual
KATHY COAKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.T.C.
Contact information
Practice address
21501 BROOKHURST ST, HUNTINGTON BEACH, CA 92646-8080
(714) 963-7712
Mailing address
21501 BROOKHURST ST, HUNTINGTON BEACH, CA 92646-8080
(714) 963-7712
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
80287
CA
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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