Individual
BRIAN COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 S 108TH ST, WEST ALLIS, WI 53214-1100
(414) 566-6400
Mailing address
555 S 108TH ST, WEST ALLIS, WI 53214-1100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6371-024
WI
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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