Individual
MS. MARIBELLE COLLADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
120 W 8TH ST, ONAGA, KS 66521-9574
(785) 889-4921
(785) 889-4117
Mailing address
808 WHITETAIL PASS, MANHATTAN, KS 66503-2589
(785) 776-7421
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-01976
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059545
BLUE SHIELD
KS
Enumeration date
04/18/2006
Last updated
12/19/2007
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