Provider Demographics
NPI:1265798151
Name:COLEMAN, ANGELA C (OTR/L)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:C
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 ANCHOR DR
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04856-3846
Mailing Address - Country:US
Mailing Address - Phone:207-301-6395
Mailing Address - Fax:207-301-6378
Practice Address - Street 1:15 ANCHOR DR
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:ME
Practice Address - Zip Code:04856-3846
Practice Address - Country:US
Practice Address - Phone:207-301-6395
Practice Address - Fax:207-301-6378
Is Sole Proprietor?:No
Enumeration Date:2012-04-05
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT4763225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist