Individual
MR. JOHN LYTLE COLVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
9848 NORTH TRYON STREET, STE 200, CHARLOTTE, NC 28262
(704) 323-2000
Mailing address
4601 PARK RD, SUITE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
10080
NC
Other
Enumeration date
12/01/2005
Last updated
07/19/2010
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