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Individual

LISA COLVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8300 RIDGE RD, GIRARD, PA 16417-8701
(814) 474-5521
Mailing address
8300 RIDGE RD, GIRARD, PA 16417-8701

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE002086L
PA

Other

Enumeration date
02/28/2012
Last updated
02/28/2012
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