Individual
LORI ANN COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3915 GOLDEN VALLEY RD, MINNEAPOLIS, MN 55422-4249
(763) 520-0394
(763) 520-0668
Mailing address
3915 GOLDEN VALLEY RD., COURAGE CENTER,, GOLDEN VALLEY, MN 55422
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201298
MN
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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