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1770130486
JESSICA RENEE COLEMAN
MADISON, AL
NPI
1770130486
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Former Name
JESSICA RENEE CANARY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AL PTA9063)
Enumeration Date
2019-08-19
Last Update Date
2019-08-19
Business Address
JESSICA RENEE COLEMAN PTA
12110 COUNTY LINE RD STE B
MADISON, AL 35756-2009
Phone number: 256-232-9001
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Mailing Address
JESSICA RENEE COLEMAN PTA
6397 LEE HWY STE 300
CHATTANOOGA, TN 37421-4915
Phone number: 423-238-7217
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