Individual
JOSE COLQUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER, FORT LIBERTY, NC 28310-6924
(910) 907-8922
Mailing address
2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER, FORT LIBERTY, NC 28310-6924
(910) 907-8922
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P18213
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P18213
PHYSICAL THERAPY LICENSE
NC
Enumeration date
07/18/2019
Last updated
11/18/2024
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