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NPI Code Detail

MEDICARE: BRIANNA DANIELLE COGGINS

MEDICARE: BRIANNA DANIELLE COGGINS
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
1225200000XPhysical Therapy Assistant

General Provider Information

NPI Number : 1437992492
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANNA DANIELLE COGGINS
Provider Business Mailing Address
First Line : 184 BEAR DANCE RD
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29588-5293
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1885 GLENNS BAY RD
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29575-5629
Country : US
Telephone Number : 843-650-1162
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2024
Last Update Date : 06/17/2024

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Directions to “ BRIANNA DANIELLE COGGINS ” Practice Location

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