Provider Demographics
NPI:1245322080
Name:COLEMAN, LESLIE CHEREIS (PTA FI)
Entity type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:CHEREIS
Last Name:COLEMAN
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Gender:F
Credentials:PTA FI
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Mailing Address - Street 1:3915 GOLDEN VALLEY ROAD
Mailing Address - Street 2:COURAGE CENTER
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55422-4298
Mailing Address - Country:US
Mailing Address - Phone:763-520-0369
Mailing Address - Fax:763-520-0392
Practice Address - Street 1:3915 GOLDEN VALLEY ROAD
Practice Address - Street 2:COURAGE CENTER
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55422-4298
Practice Address - Country:US
Practice Address - Phone:763-520-0369
Practice Address - Fax:763-520-0355
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant