Individual
PEARL COLESHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
3121 UNIVERSITY DRIVE E., SUITE 100, BRYAN, TX 77802
(979) 776-0169
(979) 776-1372
Mailing address
4607 BROMPTON LN, BRYAN, TX 77802-5611
(803) 325-5429
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6404
TX
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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