Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gary Coghlan

Individual provider Physical Therapy Assistant · NPI 1124554274

Gary Coghlan is a Physical Therapy Assistant in Fairfield, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017
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Practice location Address checks out

1717 Quincey Ln
Fairfield, CA 94534-2936
Phone: (707) 344-5350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence AT2891 (CA)

Record details

NPI number1124554274
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 11, 2017
Last updated in NPPESMay 11, 2017

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