Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 0102206132 | VA |
NPI | 1023471182 |
---|---|
Provider Name | Rachel Coggins |
First Address | Fredericksburg, VA 22401-4466 |
Second Address | Fredericksburg, VA 22401-3107 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2016 |
Last Update Date | 28/08/2020 |