Individual
MR. HOWARD SPENCER COLETRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
5755 SHATTALON DR, WINSTON SALEM, NC 27105-1332
(336) 744-2779
Mailing address
122 HANKS ST, GALAX, VA 24333-3214
(276) 233-5205
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2004
NC
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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