Individual
COLLEEN RYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, SCS
Contact information
Practice address
320 BEARD CREEK RD, EDWARDS, CO 81632-6433
(970) 569-7770
Mailing address
1529 SEABRIGHT AVE, SANTA CRUZ, CA 95062-2528
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT35450
LICENSE
CA
Enumeration date
03/09/2009
Last updated
02/04/2021
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