Individual
HEATHER COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1127 PERSINGER RD SW, ROANOKE, VA 24015-3829
(540) 343-1691
Mailing address
279 BOUSMAN CIR, HARDY, VA 24101-5728
(540) 343-1691
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2306601363
VA
225X00000X
Occupational Therapist
Primary
0119005376
VA
Other
Enumeration date
02/28/2011
Last updated
06/13/2011
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