Individual
EMALEE E COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1891 HIGHWAY 563, SIMSBORO, LA 71275-3635
(318) 245-0618
Mailing address
1891 HIGHWAY 563, SIMSBORO, LA 71275-3635
(318) 245-0618
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10709
LA
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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