Addison Coulter
NPI #1366892861 in Bourbonnais, Illinois
Provider Information
- NPI Number
- 1366892861
- Entity Type
- Individual
- Name
- Addison Coulter
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Jun 15, 2016
- Last Updated
- Jun 15, 2016
Practice Location
- Address
- 1275 N CONVENT ST
- Address 2
- SUITE 3
- City
- Bourbonnais
- State
- Illinois
- ZIP Code
- 60914-8210
- Phone
- (815) 936-1855
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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