Provider Demographics
NPI:1386058279
Name:COLEMAN, RHONDA (MS OTR)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:MS OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4870 HAYGOOD RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-5300
Mailing Address - Country:US
Mailing Address - Phone:757-499-1290
Mailing Address - Fax:757-499-0958
Practice Address - Street 1:4870 HAYGOOD RD
Practice Address - Street 2:SUITE 102
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-5300
Practice Address - Country:US
Practice Address - Phone:757-499-1290
Practice Address - Fax:757-499-0958
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0131000085224Z00000X
VA0119007014225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0119007014OtherSTATE LICENSE
VA0131000085OtherSTATE LICENSE