Individual
AMANDA COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1725 HERITAGE TRAIL, SUITE 301, NAPLES, FL 34112
(239) 649-6848
(239) 649-6773
Mailing address
21408 KNIGHTON AVENUE, ESTERO, FL 33928
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA18397
FL
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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