Individual
KANDICE MINOR COLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3111 DUKE ST # 4, ALEXANDRIA, VA 22314-4518
(571) 317-6792
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2035204772
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2307000356
DIRECT ACCESS CERTIFICATION
VA
01
—
K949 - 0018
CAREFIRST
VA
Enumeration date
07/12/2007
Last updated
11/19/2025
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