Individual
JEANINE G COLBURN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
155 PALM SPRINGS DR, COLORADO SPRINGS, CO 80921-2669
(719) 536-0517
(719) 488-0296
Mailing address
155 PALM SPRINGS DR, COLORADO SPRINGS, CO 80921-2669
(719) 536-0278
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1184
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35476559
—
CO
Enumeration date
03/14/2006
Last updated
07/08/2007
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