Individual
KATHLEEN COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
501 PETALUMA AVE, SEBASTOPOL, CA 95472-4215
(707) 823-8511
Mailing address
126 N HIGH ST, SEBASTOPOL, CA 95472-3705
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
01/03/2022
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