Individual
COLLEEN KIMBERLY ULITCHNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
24 W LAKE SHORE DR, TUNKHANNOCK, PA 18657-7774
(570) 709-5119
Mailing address
24 W LAKE SHORE DR, TUNKHANNOCK, PA 18657-7774
(570) 709-5119
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT016316
PA
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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