NPI 1104142413

Agatha Coates

Practitioner Physical Therapy Assistant Riverdale, MD

Practice location

Address: 6504 Rosalie Ln, Riverdale, MD 20737-1785
Phone: (301) 351-9317

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2306602822 (VA)

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Registry record

NPI: 1104142413
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Apr 2010
Record last updated: 12 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.