Individual
MICHELE COBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
5 N DORADO CIR APT 1H, HAUPPAUGE, NY 11788-4621
(516) 330-1551
Mailing address
5 N DORADO CIR APT 1H, HAUPPAUGE, NY 11788-4621
(516) 330-1551
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
020732-1
NY
Other
Enumeration date
11/15/2015
Last updated
11/15/2015
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