Individual
COLIN O'BANION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2109 BROADWAY STE 204, NEW YORK, NY 10023-2106
(212) 799-0160
Mailing address
349 W BROADWAY APT 5, NEW YORK, NY 10013-2241
(928) 600-4886
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
028692
NY
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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