Laura Coughlin

NPI #1164840849 in Bloomington, Illinois

Provider Information

NPI Number: 1164840849
Entity Type: Individual
Name: Laura Coughlin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Mar 31, 2014
Last Updated: Mar 31, 2014

Practice Location

Address: 19165 MEANDER WAY
City: Bloomington
State: Illinois
ZIP Code: 61705-5227
Phone: (309) 310-3158

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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