SearchVirginiaPhysical Therapy Assistant

Nicole Coleman, PTA

NPI 1194356113 · on the registry since 2020

Practice

Address
951 W 21st St Ste 103
Norfolk, VA 23517
Phone
(757) 623-0867
Fax
(757) 627-2923
Organisation at this address
Kenjack Medical Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
Physical Therapy Assistant
225200000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-02-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia