Individual
MRS. COLLEEN LEE INDERMILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
27225 CAMP PLENTY RD, SUITE 6, CANYON COUNTRY, CA 91351-2654
(661) 298-0140
(661) 298-1207
Mailing address
27225 CAMP PLENTY RD, SUITE 6, CANYON COUNTRY, CA 91351-2654
(661) 298-0140
(661) 298-1207
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT13014
CA
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
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