| Andre A Coleman, OTR/L | |
|
4110 S Water Tower Place, Mount Vernon, IL 62864-6567 | |
| (618) 242-1100 | |
| (618) 244-5148 |
| Full Name | Andre A Coleman |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 4110 S Water Tower Place, Mount Vernon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174892731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 056009596 (Illinois) | Primary |
| Provider Name | Select Physical Therapy Holdings Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1942475488 PECOS PAC ID: 9537076401 Enrollment ID: O20180808002894 |
| Mailing Address | Practice Location Address |
|---|---|
| Andre A Coleman, OTR/L 4110 S Water Tower Place, Mount Vernon, IL 62864-6567 Ph: (618) 242-1100 | Andre A Coleman, OTR/L 4110 S Water Tower Place, Mount Vernon, IL 62864-6567 Ph: (618) 242-1100 |
Daniel Northcutt, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 White St, Mount Vernon, IL 62864 Phone: 618-246-6763 | |
Skills 4 Life Ot, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2020 Broadway St Apt 1, Mount Vernon, IL 62864 Phone: 618-214-0371 | |
Kinny Merchant, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 605 N 12th St, Mount Vernon, IL 62864 Phone: 618-436-8640 | |
Mrs. Sarah Elizabeth Nelson, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 302 Broadway St, Mount Vernon, IL 62864 Phone: 618-241-8595 Fax: 618-241-8759 | |
Mrs. Angela K Oglesby, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4121 Veterans Memorial Dr, Mount Vernon, IL 62864 Phone: 618-242-3778 Fax: 618-242-2551 | |
Mr. Jered Steven Gambill, MSOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 108 N 3rd St, Mount Vernon, IL 62864 Phone: 618-244-1302 Fax: 618-244-1302 |