Individual
MRS. ERICA M COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
14255 CICERO AVE, CRESTWOOD, IL 60418-2154
(708) 231-1300
Mailing address
7133 168TH ST, TINLEY PARK, IL 60477-2774
(630) 452-7298
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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