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Individual
MRS. KRISNA NIKKA RECOMETA COLBURN
Active
Individual
MRS. KRISNA NIKKA RECOMETA COLBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19998
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147433401
ACS / US DEPT OF LABOR
MD
01
—
2128468
MAMSI
MD
01
—
2275307
FIRST HEALTH NETWORK
MD
01
—
2470862
UNITED HEALTHCARE
MD
01
—
5552701
CCN NETWORK
MD
01
—
57731
JOHN HOPKINS HEALTHCARE
MD
01
—
610334-05
BLUECROSS BLUESHIELD MD
MD
01
—
684017
NCPPO
MD
01
—
T6710016
BLUECROSS BLUESHIELD DC
MD
Enumeration date
07/29/2006
Last updated
06/26/2013
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