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NPI Code Detail

MEDICARE: NICOLE SHERI COLEMAN PTA

MEDICARE: NICOLE SHERI COLEMAN PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant2306602876VA

General Provider Information

NPI Number : 1194356113
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE SHERI COLEMAN PTA
Provider Business Mailing Address
First Line : 1450 KEMPSVILLE RD STE 102
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-7320
Country : US
Telephone Number : 757-481-6701
Fax Number : 757-481-6175
Provider Business Practice Location Address
First Line : 951 W 21ST ST STE 103
Second Line :
City : NORFOLK
State : VA
Zip : 23517-1534
Country : US
Telephone Number : 757-623-0867
Fax Number : 757-627-2923
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2020
Last Update Date : 02/28/2025

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Directions to “ NICOLE SHERI COLEMAN PTA” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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