Provider Demographics
NPI:1841280559
Name:COFFMAN, BETH ANN (MS OTRIL)
Entity type:Individual
Prefix:MRS
First Name:BETH
Middle Name:ANN
Last Name:COFFMAN
Suffix:
Gender:F
Credentials:MS OTRIL
Other - Prefix:MS
Other - First Name:BETH
Other - Middle Name:ANN
Other - Last Name:SECRIST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 33223
Mailing Address - Street 2:THERAPY LINKS PHYSICAL REHABILITATION
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74153-1223
Mailing Address - Country:US
Mailing Address - Phone:918-622-1242
Mailing Address - Fax:918-622-1291
Practice Address - Street 1:3946 S HUDSON AVE
Practice Address - Street 2:THERAPY LINKS PHYSICAL REHABILITATION
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-5608
Practice Address - Country:US
Practice Address - Phone:918-622-1242
Practice Address - Fax:918-622-1291
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKOT311225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist