Provider Demographics
NPI:1912163494
Name:COLEMAN, RACHEL LYNNE
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:LYNNE
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 1:6200 HOPEWELL DR
Mailing Address - Street 2:
Mailing Address - City:HOLIDAY
Mailing Address - State:FL
Mailing Address - Zip Code:34690-2448
Mailing Address - Country:US
Mailing Address - Phone:727-776-8734
Mailing Address - Fax:
Practice Address - Street 1:6200 HOPEWELL DR
Practice Address - Street 2:
Practice Address - City:HOLIDAY
Practice Address - State:FL
Practice Address - Zip Code:34690-2448
Practice Address - Country:US
Practice Address - Phone:727-776-8734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-04
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist