Individual
KIM COFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-4075
Mailing address
1651 NARANJO CT, REDLANDS, CA 92374-2789
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
238 OT
CA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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