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Individual

MRS. KRISNA NIKKA RECOMETA COLBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.P.T.

Contact information

Practice address
8600 SNOWDEN RIVER PKWY, SUITE 101, COLUMBIA, MD 21045-1982
(410) 720-5555
(410) 381-4653
Mailing address
8600 SNOWDEN RIVER PKWY, SUITE 101, COLUMBIA, MD 21045-1982
(410) 720-5555
(410) 381-4653

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19998
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
147433401
ACS / US DEPT OF LABOR
MD
01
2128468
MAMSI
MD
01
2275307
FIRST HEALTH NETWORK
MD
01
2470862
UNITED HEALTHCARE
MD
01
5552701
CCN NETWORK
MD
01
57731
JOHN HOPKINS HEALTHCARE
MD
01
610334-05
BLUECROSS BLUESHIELD MD
MD
01
684017
NCPPO
MD
01
T6710016
BLUECROSS BLUESHIELD DC
MD
Enumeration date
07/29/2006
Last updated
06/26/2013
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