Individual
ALAN COLESTOCK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Contact information
Practice address
7000 PORTAGE RD, KALAMAZOO, MI 49001-0102
(269) 833-6242
Mailing address
5915 OLD MSN, PORTAGE, MI 49024-1155
(269) 329-4608
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5501002252
MI
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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