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NPI Code Detail

MEDICARE: ANNE COAKLEY PT

MEDICARE: ANNE COAKLEY 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
12251S0007XSports Physical Therapist16463MD
22251X0800XOrthopedic Physical Therapist16463MD

General Provider Information

NPI Number : 1720074511
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE COAKLEY PT
Provider Business Mailing Address
First Line : 3901 NATIONAL DR
Second Line : STE 100
City : BURTONSVILLE
State : MD
Zip : 20866-1176
Country : US
Telephone Number : 301-421-1125
Fax Number : 301-500-2175
Provider Business Practice Location Address
First Line : 6011 UNIVERSITY BLVD
Second Line : SUITE 120
City : ELLICOTT CITY
State : MD
Zip : 21043-6074
Country : US
Telephone Number : 410-203-0391
Fax Number : 410-203-2707
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2005
Last Update Date : 12/16/2019

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Directions to “ ANNE COAKLEY PT” Practice Location

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