Individual
MELANIE MARIE COUGHENOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6209 E 25TH LN, YUMA, AZ 85365-1141
(217) 369-4228
Mailing address
6209 E 25TH LN, YUMA, AZ 85365-1141
(217) 369-4228
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4347
AZ
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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