Individual
CARINNA L COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1727 SHAWANO AVE, GREEN BAY, WI 54303-3268
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9582
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40360300
—
WI
Enumeration date
07/27/2006
Last updated
11/03/2021
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