Individual
MRS. GAYLE LYNNAE COLTHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.,D.P.T.
Contact information
Practice address
43700 WOODWARD AVE, SUITE 106, BLOOMFIELD, MI 48302-5058
(248) 335-2000
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015044
MI
Other
Enumeration date
04/20/2010
Last updated
04/09/2014
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