Individual
COLLEEN JOHAN ZDEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
5116 WAKEFIELD RD, GRAND BLANC, MI 48439
(810) 516-1902
Mailing address
5116 WAKEFIELD RD, GRAND BLANC, MI 48439-9189
(810) 516-1902
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000054
MI
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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