Individual
COLIN CHARLES PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT,OCS
Contact information
Practice address
81 CERNON ST, VACAVILLE, CA 95688-2803
(707) 447-9750
Mailing address
81 CERNON ST, VACAVILLE, CA 95688-2803
(916) 761-5313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
294118
CA
Other
Enumeration date
08/18/2017
Last updated
10/26/2022
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