Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 0003033 | FL |
NPI | 1013061142 |
---|---|
Provider Name | Kathie Coats |
First Address | Miami, FL 33189-1640 |
Second Address | Miami, FL 33176-1978 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2007 |
Last Update Date | 08/07/2007 |