Individual
CHASTITY MICHELE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3126 CEDARTOWN HWY SW, ROME, GA 30161-3773
(706) 295-0014
Mailing address
3126 CEDARTOWN HWY SW, ROME, GA 30161-3773
(706) 295-0014
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001486
GA
Other
Enumeration date
07/16/2022
Last updated
07/16/2022
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