Individual
DANETA COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
141 SPRUCE LN, WEST UNION, OH 45693-8807
(937) 544-5531
Mailing address
845 LINDA VISTA DR, MANCHESTER, OH 45144-9367
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5803
OH
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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