Provider Demographics
NPI:1205685526
Name:COLEMAN, MADISON PATRICIA
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:PATRICIA
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5103 CARLISLE PIKE
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-2400
Mailing Address - Country:US
Mailing Address - Phone:717-591-0955
Mailing Address - Fax:717-591-0956
Practice Address - Street 1:5103 CARLISLE PIKE
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-2400
Practice Address - Country:US
Practice Address - Phone:717-591-0955
Practice Address - Fax:717-591-0956
Is Sole Proprietor?:No
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist