Individual
ELIZABETH NICOLE COONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8400 CLEARVISTA PL # 3D, INDIANAPOLIS, IN 46256-3700
(317) 509-4328
Mailing address
1619 S 9TH AVE, BEECH GROVE, IN 46107-2556
(317) 509-4328
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005515A
IN
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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