Provider Demographics
NPI:1437367950
Name:COILURE, ANUPRIYA LAKSHMANAN (PT)
Entity Type:Individual
Prefix:MS
First Name:ANUPRIYA
Middle Name:LAKSHMANAN
Last Name:COILURE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 GOLDEN ORCHARD DR
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63368-7990
Mailing Address - Country:US
Mailing Address - Phone:636-614-1727
Mailing Address - Fax:
Practice Address - Street 1:1025 GOLDEN ORCHARD DR
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63368-7990
Practice Address - Country:US
Practice Address - Phone:636-614-1727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006002910225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist