Individual
MICHAEL L COLEGROVE
Active
Individual
MICHAEL L COLEGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
P4627
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P4627
PHYSICAL THERAPY
NC
Enumeration date
06/14/2012
Last updated
07/07/2022
Update your record
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