Provider Demographics
NPI:1265730188
Name:COINER, COLETTE M (PT)
Entity type:Individual
Prefix:
First Name:COLETTE
Middle Name:M
Last Name:COINER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:COLETTE
Other - Middle Name:M
Other - Last Name:SEYMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12526 HIGH BLUFF DR STE 300
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-2067
Mailing Address - Country:US
Mailing Address - Phone:888-713-2220
Mailing Address - Fax:858-461-6060
Practice Address - Street 1:12526 HIGH BLUFF DR STE 300
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-2067
Practice Address - Country:US
Practice Address - Phone:888-713-2220
Practice Address - Fax:858-461-6060
Is Sole Proprietor?:No
Enumeration Date:2011-03-01
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT17119225100000X, 2251S0007X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports