Agatha Coates

NPI #1104142413 in Riverdale, Maryland

Provider Information

NPI Number: 1104142413
Entity Type: Individual
Name: Agatha Coates
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Apr 12, 2010
Last Updated: Apr 12, 2010

Practice Location

Address: 6504 ROSALIE LN
City: Riverdale
State: Maryland
ZIP Code: 20737-1785
Phone: (301) 351-9317

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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