Individual
CHYNA COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2915 E BASELINE RD, SUITE 108, GILBERT, AZ 85234-2425
(480) 855-8866
Mailing address
2915 E BASELINE RD, SUITE 108, GILBERT, AZ 85234-2425
(480) 855-8866
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
6613
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
359505
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
—
Enumeration date
07/05/2016
Last updated
07/05/2016
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