Individual
MISS DEBRA ANN COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
605 WILLOW POND DR, RIVERHEAD, NY 11901-7229
(631) 252-5943
Mailing address
605 WILLOW POND DR, RIVERHEAD, NY 11901-7229
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
021919
NY
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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