Individual
MR. DEMETRIOUS ABDUL COLEMAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
225-227 MCWHORTER ST., NEWARK, NJ 07105
(973) 494-0858
(844) 857-2827
Mailing address
225-227 MCWHORTER ST., NEWARK, NJ 07105
(971) 494-0858
(844) 857-2827
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
012511
NY
225200000X
Physical Therapy Assistant
Primary
40QB00424900
NJ
225200000X
Physical Therapy Assistant
PTA0000006080
TN
Other
Enumeration date
12/02/2016
Last updated
11/14/2025
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