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Individual

SUZANNE COUGHENOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
19500 SANDRIDGE WAY, SUITE 230, LEESBURG, VA 20176-3688
(703) 724-7474
Mailing address
19500 SANDRIDGE WAY, SUITE 230, LEESBURG, VA 20176
(703) 724-7474

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603108
VA

Other

Enumeration date
06/21/2012
Last updated
06/21/2012
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