MEDICARE: MS. APRIL MICHELLE COATS P.T.

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
1	225100000X	Physical Therapist	PT3061	OK

General Provider Information

NPI Number	:	1912108200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. APRIL MICHELLE COATS P.T.

Provider Business Mailing Address
First Line	:	5030 N MAY AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-6010
Country	:	US
Telephone Number	:	405-473-2679
Fax Number	:	405-607-0977

Provider Business Practice Location Address
First Line	:	5030 N MAY AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-6010
Country	:	US
Telephone Number	:	405-473-2679
Fax Number	:	405-607-0977

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	07/08/2007

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