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Individual

KATHY COLLADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
2580 PRUDEN BLVD, SUFFOLK, VA 23434-4229
(619) 709-8253
Mailing address
1600 GRANBY ST APT 351, NORFOLK, VA 23510-2652
(619) 709-8253

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305213720
VA
225100000X
Physical Therapist
298457
CA

Other

Enumeration date
08/13/2020
Last updated
08/16/2020
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