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Individual
ADRIANNE RENEE COLEMAN
Active
Individual
ADRIANNE RENEE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5542
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124249917
SATELLITE OFFICE NPI
SC
01
—
1285699249
PRACTICE NPI
SC
01
—
1285798231
SATELLITE OFFICE NPI
SC
01
—
426542
MEDICARE PROVIDER ID
SC
01
—
5542
SC PT LICENSE
SC
Enumeration date
08/08/2007
Last updated
06/22/2010
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