Individual
DR. COLLEEN E PROVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
460 POLARIS PKWY STE 150, SUITE 150, WESTERVILLE, OH 43082-6092
(614) 259-0906
Mailing address
460 POLARIS PKWY STE 150, WESTERVILLE, OH 43082-6092
(614) 259-0906
(614) 259-0618
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT021460
OH
Other
Enumeration date
11/26/2024
Last updated
12/12/2024
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