Individual
DOUGLAS J COUTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
180 HURON ST, #4, BROOKLYN, NY 11222-6010
(804) 814-7777
Mailing address
180 HURON ST, #4, BROOKLYN, NY 11222-6010
(804) 814-7777
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
022076-1
NY
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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