Individual
MR. JOHN COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
626 N TEJON ST APT 1, COLORADO SPRINGS, CO 80903-1079
(618) 334-6610
Mailing address
626 N TEJON ST APT 1, COLORADO SPRINGS, CO 80903-1079
(618) 334-6610
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0000732
CO
224Z00000X
Occupational Therapy Assistant
057004395
IL
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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