Individual
COLLIN WOLLENMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1725 N 5TH ST, TERRE HAUTE, IN 47804-4010
(812) 242-3005
Mailing address
1100 SPRUCE ST APT 9, TERRE HAUTE, IN 47807-2152
(812) 630-7180
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
05013483A
IN
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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