Individual
COLTON JAMES CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
512 CRESCENT DR, TROY, OH 45373-2718
(937) 335-7161
Mailing address
9969 GRANDVIEW DR, BRADFORD, OH 45308-9617
(937) 564-2216
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017446
OH
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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