Individual
AMANDA MICHELLE COUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
8031 W CENTER RD, SUITE #300, OMAHA, NE 68124-3158
(402) 391-5002
Mailing address
3220 FARNAM ST APT 2711, OMAHA, NE 68131-3520
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3137
NE
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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