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Contact Information

LAUREEN M COFFELT, O.T.
6286 BRIARCREST AVE STE 200
MEMPHIS, TN38120-4023
 Phone: 901-641-3000
 Fax: 901-259-1698
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand

225XH1200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LAUREEN M COFFELT · (Female)

NPI # 1760485585
Status Active
Credentials O.T.
Entity Individual
Enumeration date 05/24/2005
Last updated 07/21/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MS License # OT-3879
  • TN License # 1178
  • AR Medicaid 110318002
  • AR Medicaid 158928721
  • MS Medicaid 08031211
  • MS Medicaid 7187860
  • TN Medicaid 3371161
  • TN Medicaid 3645198
  • MS Other 620819926 BCBS
  • TN Other 620819926 AETNA
  • TN Other 7729581 AETNA
  • TN Other 4088730 BLUE CROSS
  • TN Other 620819926 CIGNA
  • TN Other P00281381 RAILROAD MEDICARE
  • TN Other 620819926 TRICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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