Organization
MY HOME PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN FREDRIC KOELLING DPT (PHYSICAL THERAPIST)
(925) 918-0090
Entity
Organization
Contact information
Practice address
58 RED OAK CT, ERIE, CO 80516-6811
(925) 918-0090
Mailing address
58 RED OAK CT, ERIE, CO 80516-6811
(925) 918-0090
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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