Individual
DANESSA LEE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 PALM COAST PKWY NE, PALM COAST, FL 32137-3805
(386) 446-4101
Mailing address
24 ROLLAND LN, PALM COAST, FL 32164-6957
(717) 552-8695
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
30924
FL
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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