Individual
KELLI ANN COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL CHT
Contact information
Practice address
690 N COFCO CENTER CT, SUITE 260, PHOENIX, AZ 85008-6462
(602) 279-6905
(888) 445-4263
Mailing address
690 N COFCO CENTER CT, SUITE 260, PHOENIX, AZ 85008-6462
(602) 279-6905
(888) 445-4263
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
3119
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
886260
—
AZ
01
—
Z113264
MEDICARE GROUP
AZ
Enumeration date
10/11/2005
Last updated
11/08/2007
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