Individual
MR. COLBY THOMAS DELATOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
910 20TH ST, GOTHENBURG, NE 69138-1237
(308) 537-4023
Mailing address
32830 ROAD 761, GRANT, NE 69140-3202
(308) 352-2540
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
513
NE
Other
Enumeration date
08/29/2009
Last updated
08/31/2009
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