Individual
MICHAEL COLBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
410 E 7TH ST, LANSDALE, PA 19446-2704
(215) 368-6869
Mailing address
410 E 7TH ST, LANSDALE, PA 19446-2704
(215) 368-6869
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1000721
PA
Other
Enumeration date
01/21/2010
Last updated
01/21/2010
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