Individual
JODI LEE KOLB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6475 VAN BUREN ST, DAPHNE, AL 36526-7585
(251) 626-9052
Mailing address
11406 SAINT IVES CT, DAPHNE, AL 36526-8492
(509) 981-6751
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305204770
VA
225100000X
Physical Therapist
33825
CA
225100000X
Physical Therapist
Primary
PTH8175
AL
Other
Enumeration date
09/12/2006
Last updated
11/26/2018
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