Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY COGHLAN
Active Sole ProprietorGARY COGHLAN is a Occupational Therapist healthcare provider located in FAIRFIELD, California. NPI 1124554274 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · FAIRFIELD, CA
Registration Details
- NPI Number
- 1124554274
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2017 (9.2375341744648 yrs)
- Last Updated
- May 11, 2017
- License
-
AT2891 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1717 QUINCEY LNFAIRFIELD, CA, 945342936Browse CA providers · Browse ZIP 94534
- Phone
- 7073445350
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in FAIRFIELD, CA
| Name | Credential | NPI |
|---|---|---|
| CHARO CASTRO | PTA | 1881775013 |
| JONATHAN W SU | PTA | 1205918596 |
| JEREMY LEE GARLICK | PTA | 1205276441 |
| NELL ENRIQUEZ DE GUZMAN | — | 1740759018 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.