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NPI Code Detail

MEDICARE: ANNE O COUGHLIN PT

MEDICARE: ANNE O COUGHLIN PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT06413OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780674291
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE O COUGHLIN PT
Provider Business Mailing Address
First Line : 999 N MAIN ST
Second Line :
City : AKRON
State : OH
Zip : 44310-1456
Country : US
Telephone Number : 330-929-2694
Fax Number : 330-929-2782
Provider Business Practice Location Address
First Line : 999 N MAIN ST
Second Line :
City : AKRON
State : OH
Zip : 44310-1456
Country : US
Telephone Number : 330-929-2694
Fax Number : 330-929-2782
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2005
Last Update Date : 03/28/2008

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Directions to “ ANNE O COUGHLIN PT” Practice Location

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