Individual
COLBY EDWARD FORDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
501 EXECUTIVE PL, FAYETTEVILLE, NC 28305-5390
(910) 423-5550
(910) 423-5552
Mailing address
501 EXECUTIVE PL, FAYETTEVILLE, NC 28305-5390
(910) 423-5550
(910) 423-5552
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P17284
NC
Other
Enumeration date
07/27/2017
Last updated
07/21/2022
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