Individual
LA JEIM ILESE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
763 GEORGE ST, NORRISTOWN, PA 19401-3730
(215) 703-7305
Mailing address
763 GEORGE ST, NORRISTOWN, PA 19401-3730
(215) 703-7305
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006156
VA
225X00000X
Occupational Therapist
OC013176
PA
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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