Individual
ASHLYN ROSE COEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4000
Mailing address
12671 LA SOLANA DR, REDLANDS, CA 92373-7456
(909) 838-9323
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT22465
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
578600518
PASSPORT
—
01
—
F4804111
DRIVERS LICENSE
CA
Enumeration date
10/24/2022
Last updated
10/24/2022
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