Individual
MR. JASON KYLE COLBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1822 N MAIN ST, FALL RIVER, MA 02720
(508) 678-1425
(508) 678-1496
Mailing address
125 CHURCH POND DR, TIVERTON, RI 02878-4449
(401) 624-3503
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01932
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT01932
RI LIC
RI
Enumeration date
11/29/2006
Last updated
12/13/2013
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