Individual
DANIEL RAY COLEMAN
Active
Individual
DANIEL RAY COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00002127
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121283
LABOR & INDUSTRIES
WA
05
—
7091473
—
WA
01
—
CO5972
PREMERA BLUE CROSS
WA
01
—
TE5934
REGENCE
WA
Enumeration date
06/02/2006
Last updated
10/09/2007
Update your record
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