Male or Other

Daniel C. Cothern PT

Specialist in Fayetteville, AR(View on Map)

Full Name

Daniel Christopher Cothern PT

NPI Number

1871694471

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/26/2006

Specialties

(Taxonomies)

Code

174400000X
261QP2000X

Primary Taxonomy

Yes
No

Licenses

State

Arkansas
Arkansas

License Number

PT 2286
2286

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 13525
1998 W GRAND BLVD

City

Maumelle
Fayetteville

State

AR
AR

Postal Code

72113-0525
72704-5077

Country

US
US

Telephone Number

(866) 251-1227
(866) 251-1227

Identifiers

Identifier

163436721

Identifier State

AR

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/15/2023

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