SearchIllinois225100000X

Laura Coughlin

NPI 1164840849 · on the registry since 2014

Practice

Address
19165 Meander Way
Bloomington, IL 61705
Phone
(309) 310-3158
Organisation at this address
Rally Physical Therapy Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-03-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois