Individual
MS. ABBY COLES-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1600 E EVERGREEN ST, CAMERON, MO 64429
(816) 632-2101
Mailing address
246 SE 84TH AVE, PORTLAND, OR 97216-1023
(573) 673-6734
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2004017380
MO
225100000X
Physical Therapist
6139
OR
Other
Enumeration date
11/27/2007
Last updated
11/14/2024
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