Individual
COLBY THOMAS TOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
83 PALMER RD, BANGOR, PA 18013-9204
(484) 725-3333
Mailing address
83 PALMER RD, BANGOR, PA 18013-9204
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT008106
PA
390200000X
Student in an Organized Health Care Education/Training Program
390200000X
—
Other
Enumeration date
08/31/2020
Last updated
04/21/2024
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