Individual
ROBERT COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1202 HIGHWAY 60, SOCORRO, NM 87801-3914
(937) 269-6441
Mailing address
1202 HIGHWAY 60, SOCORRO, NM 87801-3914
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
22023
NM
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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