Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COLIN G COUGHENOUR, CPT
Active Sole ProprietorOccupational Therapist · PETALUMA, CA
Registration Details
- NPI Number
- 1659605574
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 24, 2009 (16.576828629666 yrs)
- Last Updated
- Sep 24, 2009
- Licenses
-
ACE - T145486 (CA)ACE - T145486 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18 WARRICK CTPETALUMA, CA, 949545848Browse CA providers · Browse ZIP 94954
- Phone
- 7072177838
- Primary Specialty
-
Occupational Therapist
226300000X
- Additional Specialty
- Occupational Therapist
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.