Colin G Coughenour
Kinesiotherapist
18 Warrick Ct
Petaluma
, California 94954-5848
Colin G Coughenour
Kinesiotherapist
18 Warrick Ct
Petaluma
, California 94954-5848
(707) 217-7838
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About
Features
Specialties
- Kinesiotherapist
Languages spoken
- English
Location
First Address
- Colin G Coughenour
- 18 Warrick Ct
- Petaluma, CA
- Zip : 94954-5848
- Phone : (707) 217-7838
Second Address
- Colin G Coughenour
- 18 Warrick Ct
- Petaluma, CA
- Zip : 94954-5848
- Phone : (707) 217-7838
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Is Colin G Coughenour a sole practitioner?
Is Colin G Coughenour accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 226300000X | Kinesiotherapist | ACE - T145486 | CA |
National Provider Identifier
| NPI | 1659605574 |
|---|---|
| Provider Name | Colin G Coughenour |
| First Address | Petaluma, CA 94954-5848 |
| Second Address | Petaluma, CA 94954-5848 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/09/2009 |
| Last Update Date | 24/09/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.