IndividualActive
Michele Coburn, MSPT
NPI 1912371915 · Geriatric Physical Therapist · Hauppauge, NY
Provider details
- NPI number
- 1912371915
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MSPT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 020732-1 (NY)
Practice location
5 N Dorado Cir Apt 1h
Hauppauge, NY 11788-4621
Phone: (516) 330-1551
Mailing address
5 N Dorado Cir Apt 1h
Hauppauge, NY 11788-4621
Registry dates
- Enumerated
- 2015-11-15
- Last updated
- 2015-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.