Individual
ADAM WESLEY COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1025 EUCLID AVE, PAINTSVILLE, KY 41240-8645
(606) 789-5808
Mailing address
1025 EUCLID AVE, PAINTSVILLE, KY 41240-8645
(606) 789-5808
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
240328
KY
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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