Individual
MS. CYNTHIA COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
512 BEACH ST, FENTON, MI 48430-3122
(810) 629-4117
Mailing address
1441 MUSKEGON DR, GRAND BLANC, MI 48439-7398
(810) 516-3535
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
L2291833
MI
Other
Enumeration date
03/16/2014
Last updated
03/16/2014
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