Individual
THOMAS COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
122 1ST AVE, PORT READING, NJ 07064-1808
(732) 221-7271
Mailing address
122 1ST AVE, PORT READING, NJ 07064-1808
(732) 221-7271
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
010905
NY
225X00000X
Occupational Therapist
Primary
46TR00298700
NJ
Other
Enumeration date
09/27/2006
Last updated
04/28/2010
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