Individual
COLIN BROADBELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
714 ROLLING GREEN DR, LAKEWAY, TX 78734-5227
(310) 387-8838
Mailing address
714 ROLLING GREEN DR, LAKEWAY, TX 78734-5227
(310) 387-8838
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
WPT21930A
CA
Other
Enumeration date
11/28/2007
Last updated
01/02/2024
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