Individual
MRS. CRYSTAL STONECYPHER COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2875 STUDSTILL RD, EASTMAN, GA 31023-7204
(478) 290-1379
Mailing address
2875 STUDSTILL RD, EASTMAN, GA 31023-7204
(478) 290-1379
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA0000001534
TN
224Z00000X
Occupational Therapy Assistant
Primary
OTA000844
GA
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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