Doctor Name: | JOLE ANN LUND-COAKLEY |
NPI Number: | 1184613481 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT 13406 |
Business Practice Address: | 13020 N Telecom Pkwy Temple Terrace, FL - 336370925 |
Business Phone Number: | 8139789700 |
Business Fax Number: | 8139725055 |
Mailing Address: | 13020 N Telecom Pkwy, TEMPLE TERRACE |
State: | FL |
Postal Code: | 336370925 |
Phone Number: | 8139789700 |
Fax Number: | 8139725055 |
NPI Enumeration Date: | 10/19/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT 13406 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |