| Mary Coleman, | |
|
21040 Miflin Rd, Foley, AL 36535-9296 | |
| (251) 923-0888 | |
| Not Available |
| Full Name | Mary Coleman |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 21040 Miflin Rd, Foley, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346913597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Gulf Coasttherapy, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1134227416 PECOS PAC ID: 8527081371 Enrollment ID: O20060109000186 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Coleman, 7026 Steinmeier Dr W, Indianapolis, IN 46220-3964 Ph: () - | Mary Coleman, 21040 Miflin Rd, Foley, AL 36535-9296 Ph: (251) 923-0888 |
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