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Individual
TAMRA J COLEMAN
Active
Individual
TAMRA J COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25961
CA
225100000X
Physical Therapist
4732
OR
225100000X
Physical Therapist
PT00002692
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274430
—
OR
01
—
523039028
REGENCE BCBS
OR
Enumeration date
04/18/2007
Last updated
03/07/2017
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