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Individual

DR. COLLEEN MAE WALSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
5006 VETERANS HWY, HOLBROOK, NY 11741-4514
(631) 416-6926
Mailing address
23 JEFFERSON ST, EAST ISLIP, NY 11730-1809
(631) 495-6908

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2251S0007X
Sports Physical Therapist

Other

Enumeration date
09/06/2019
Last updated
09/06/2019
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