Individual
DIANE L COLBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 W MARIANA AVE, N FORT MYERS, FL 33903-5515
(239) 997-7797
(239) 997-8462
Mailing address
35 W MARIANA AVE, N FORT MYERS, FL 33903-5515
(239) 997-7797
(239) 997-8462
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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