Individual
BARBARA S COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1416 N DONNELLY ST, MOUNT DORA, FL 32757-2814
(352) 988-8182
Mailing address
35850 OSPREY LN, EUSTIS, FL 32736-9123
(352) 988-8182
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA41908
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
611010600
WORKMAN'S COMPENSATION
FL
Enumeration date
10/13/2008
Last updated
10/13/2008
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