Provider Demographics
NPI:1932673738
Name:COUGHLAN, TZUWEI
Entity Type:Individual
Prefix:
First Name:TZUWEI
Middle Name:
Last Name:COUGHLAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4809 WEATHEROAK DR
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-1912
Mailing Address - Country:US
Mailing Address - Phone:301-332-7005
Mailing Address - Fax:
Practice Address - Street 1:15867 CRABBS BRANCH WAY STE B
Practice Address - Street 2:
Practice Address - City:DERWOOD
Practice Address - State:MD
Practice Address - Zip Code:20855-2696
Practice Address - Country:US
Practice Address - Phone:301-840-2469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-15
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist