Individual
MONA M COFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 N OAK ST, OTTAWA, KS 66067-1823
(913) 710-0712
Mailing address
710 N OAK ST, OTTAWA, KS 66067-1823
(913) 710-0712
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01466
KS
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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