Individual
DR. HAILEY NICOLE COFFINDAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
322 N CENTRAL AVE, EUREKA, MO 63025-1826
(636) 938-4065
Mailing address
117 FOREST PKWY APT H, VALLEY PARK, MO 63088-1033
(620) 290-2117
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2011017273
MO
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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