Individual
HEIDI LYNN COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
122 NIMS SPRING DR, FORT MILL, SC 29715-6461
(909) 553-0952
Mailing address
122 NIMS SPRING DR, FORT MILL, SC 29715-6461
(803) 547-0854
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4342
NC
Other
Enumeration date
08/02/2011
Last updated
02/07/2014
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