Individual
DR. MICHAEL PATRICK COLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
444 W FORT ST FL 2, BOISE, ID 83702-4535
(208) 422-1018
Mailing address
601 MCCAIN BLVD, CORONADO, CA 92118
(619) 545-0462
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
38500
CA
2251X0800X
Orthopedic Physical Therapist
Primary
38500
CA
Other
Enumeration date
01/06/2012
Last updated
08/16/2023
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