Most Relevant Information
Provider Data
| NPI Number: | 1003019100 |
| Provider Name: | PATRICIA COUGHLIN DC |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | DC007358L |
Most Important Dates
| Enumeration Date: | 06/06/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
240 CONESTOGA RD
WAYNE
PA
190874748
Practice Location Phone/Fax
| Phone: | 6106883336 |
| Fax: | 6106685955 |
Provider Mailing Location
240 CONESTOGA RD
WAYNE
PA
190874748
Provider Mailing Phone/Fax
| Phone: | 6106883336 |
| Fax: | 6106685955 |