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BREANNA LEE COLVIN DPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1306503651

Individual Registrant:
 BREANNA LEE COLVIN DPT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
502 S HIGH ST  RANDOLPH, WI 53956-1499 US
Tel: 570-620-6135  Fax: --

Contact information for business:
212 S HENRY ST APT 2  MADISON, WI 53703-4434 US
Tel: 570-620-6135  Fax: --

Registration Information:
NPI: 1306503651
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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