Individual
COLBY KULIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1411 JACOBSBURG RD, WIND GAP, PA 18091-9788
(610) 861-8080
Mailing address
1411 JACOBSBURG RD, WIND GAP, PA 18091-9788
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT029046
STATE LICENSE
PA
Enumeration date
01/14/2021
Last updated
01/14/2021
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