Individual
GREGORY COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5850 POLARIS AVE STE 100, LAS VEGAS, NV 89118-3185
(702) 739-9957
Mailing address
5850 POLARIS AVE STE 100, LAS VEGAS, NV 89118-3185
(702) 739-9957
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3150
NV
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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