Individual
COLLEEN PATRICIA HARCHUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
3823 E STATE ROAD 64, BRADENTON, FL 34208-9041
(412) 841-8891
Mailing address
3823 E STATE ROAD 64, BRADENTON, FL 34208-9041
(412) 841-8891
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT011196L
PA
225100000X
Physical Therapist
Primary
PT31076
FL
Other
Enumeration date
09/25/2014
Last updated
09/13/2016
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