Individual
MICHELE BETH COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA, LMT, CMT
Contact information
Practice address
1200 GOUGH ST, SAN FRANCISCO, CA 94109-6655
(415) 921-1211
Mailing address
1326 42ND AVE, SAN FRANCISCO, CA 94122-1211
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49032
CA
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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