Individual
PATRICIA COFFELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3625 MAGNOLIA AVE, SAINT LOUIS, MO 63110-4048
(314) 771-2990
Mailing address
3625 MAGNOLIA AVE, SAINT LOUIS, MO 63110-4048
(314) 771-2990
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2008026299
MO
Other
Enumeration date
12/10/2009
Last updated
02/15/2011
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