William James Coon, ATC, PTA, CSCS, EMT
Physical Therapy Assistant in New Haven, CT. Individual provider (NPI-1).
NPI number1811061401
StatusActive
Last updated in NPPESApr 12, 2008
Details
- NPI
- 1811061401
- Entity type
- Individual (NPI-1)
- Name
- Mr. William James Coon
- Credential
- ATC, PTA, CSCS, EMT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2006
- Last updated
- Apr 12, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 000996 | CT | Yes |
| 146N00000X | Emergency Medical Technician, Basic | 000022 | CT | |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 000390 | CT |
Practice location
199 Whitney AveNew Haven, CT 06511-3786
Phone 203-789-8873
Mailing address
60 Hawley AveUnit # 3
Milford, CT 06460-8116
Phone 203-283-1085
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