Individual
MS. CHARLENE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
27405 US HIGHWAY 27 STE 115, LEESBURG, FL 34748-7914
(352) 409-1481
(352) 343-7577
Mailing address
PO BOX 40, TAVARES, FL 32778-0040
(352) 409-1481
(352) 343-7577
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA24707
FL
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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