Individual
EDI MARIE COLBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
826 W KING ST, OWOSSO, MI 48867-2120
(989) 288-7215
(989) 288-4215
Mailing address
826 W KING ST, OWOSSO, MI 48867-2120
(989) 288-7215
(989) 288-4215
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005183
MI
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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