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

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
Mailing address1717 Quincey Ln, Fairfield, CA 94534-2936

Other providers in Fairfield