Andre A Coleman, OTR/L
NPI #1174892731 in Mount Vernon, Illinois
Provider Information
- NPI Number
- 1174892731
- Entity Type
- Individual
- Name
- Andre A Coleman, OTR/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapist
- Credential
- OTR/L
- Enumeration Date
- Dec 27, 2011
- Last Updated
- Feb 2, 2012
Practice Location
- Address
- 4110 S WATER TOWER PLACE
- City
- Mount Vernon
- State
- Illinois
- ZIP Code
- 62864-6567
- Phone
- (618) 242-1100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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