Provider Demographics
NPI:1982910972
Name:COLEMAN, PATRICIA (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:COLEMAN
Other - Last Name:SIGMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1100 CIRCLE 75 PKWY SE SUITE 1400
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31193-0402
Mailing Address - Country:US
Mailing Address - Phone:678-981-3543
Mailing Address - Fax:
Practice Address - Street 1:204 MILL ST NE STE E
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4500
Practice Address - Country:US
Practice Address - Phone:703-991-8156
Practice Address - Fax:703-991-8158
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-27
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305207844225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty