Individual
JONATHAN BRUCE COLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
809 LAMONT ST., MOUNTAIN HOME, TN 37684
(423) 926-1171
Mailing address
103 HEMLOCK LN, JOHNSON CITY, TN 37604-3140
(423) 557-8459
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
5919
TN
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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