Individual
CASEY COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
426 E 162ND ST, SOUTH HOLLAND, IL 60473-2258
(708) 333-0677
(708) 333-1170
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070023867
IL
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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