Individual
JESSICA COLTABAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 TABERNACLE RD, BLACK MOUNTAIN, NC 28711-7733
(828) 669-6473
Mailing address
2 GREENWOOD RD, ASHEVILLE, NC 28803-3106
(252) 723-8987
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P17717
NC
Other
Enumeration date
12/07/2023
Last updated
12/12/2023
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