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Individual

ANGELA COLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7823 OLD STATE ROAD 60, SELLERSBURG, IN 47172-1858
(812) 246-4272
Mailing address
530 BEECHWOOD DR, CHARLESTOWN, IN 47111-1502

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004110A
IN
225X00000X
Occupational Therapist
KY-R3363
KY

Other

Enumeration date
08/12/2008
Last updated
08/12/2008
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