Individual
COLIN S MUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2401 PLOVER ROAD, PLOVER, WI 54467-3916
(715) 295-3800
Mailing address
900 ILLINOIS AVENUE, STEVENS POINT, WI 54481-3114
(715) 346-5000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2441
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2441
WI STATE LIC
WI
Enumeration date
03/11/2010
Last updated
03/11/2010
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