Provider Demographics
NPI:1417064155
Name:COE, DOUGLAS P (PT)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:P
Last Name:COE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:120 WILLIAM PENN PLAZA
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704
Mailing Address - Country:US
Mailing Address - Phone:919-220-5255
Mailing Address - Fax:919-313-1276
Practice Address - Street 1:2076 HWY 42 WEST
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-4491
Practice Address - Country:US
Practice Address - Phone:919-763-1050
Practice Address - Fax:919-313-1276
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7907OtherLICENSE #