Individual
COLIN HOMOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
191 PATCHOGUE YAPHANK RD, EAST PATCHOGUE, NY 11772-4899
(631) 775-0971
(631) 475-0975
Mailing address
191 PATCHOGUE YAPHANK RD, EAST PATCHOGUE, NY 11772-4899
(631) 775-0971
(631) 475-0975
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
046440
NY
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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