Individual
IMANI L. COLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
8401 MAYLAND DR, STE 4379, RICHMOND, VA 23294
(804) 840-4280
Mailing address
8401 MAYLAND DR, STE 4379, RICHMOND, VA 23294
(804) 840-4280
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11376
LA
225100000X
Physical Therapist
CP029992T
VA
225100000X
Physical Therapist
Primary
J1-0014836
DE
Other
Enumeration date
09/20/2022
Last updated
12/04/2024
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