Individual
MRS. THEODORA COLBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA BS RN
Contact information
Practice address
38 OLMSTEAD ST, JAMAICA PLAIN, MA 02130-2910
(617) 514-1515
(617) 083-5610
Mailing address
38 OLMSTEAD STREET, JAMAICA PLAIN, MA 02130
(617) 514-1515
(617) 083-5610
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
RN118502
MA
364SR0400X
Rehabilitation Clinical Nurse Specialist
RN118502
MA
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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