Individual
MR. HERMAN L COLLEY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10098A BIG BEARCREEK RD, LUCASVILLE, OH 45648-8622
(740) 259-2351
Mailing address
10098A BEARCREEK RD, LUCASVILLE, OH 45648-8622
(740) 259-2351
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06837
OH
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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