Organization
COLEMAN PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE J COLEMAN OTR/L (OWNER)
(860) 383-3320
Entity
Organization
Contact information
Practice address
155 BORETZ RD, COLCHESTER, CT 06415
(860) 383-3320
Mailing address
155 BORETZ RD, COLCHESTER, CT 06415
(860) 383-3320
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
003634
CT
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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