Individual
MRS. MARCY LYNN COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
66 S VERNON ST, MIDDLEPORT, NY 14105-1324
(716) 735-9456
Mailing address
66 S VERNON ST, MIDDLEPORT, NY 14105-1324
(716) 735-9456
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002242-1
NY
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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