| NPI | 1508117409 |
|---|---|
| Former Name | HALLIE ANN COLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P12821) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305207397) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2019-08-12 |