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DIANE L COLBURN
>> Developmental Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1730444258
Individual Registrant: DIANE L COLBURN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
35 W MARIANA AVE N FORT MYERS, FL 33903-5515 US
Tel: 239-997-7797 Fax: 239-997-8462
Tel: 239-997-7797 Fax: 239-997-8462
Contact information for business:
35 W MARIANA AVE N FORT MYERS, FL 33903-5515 US
Tel: 239-997-7797 Fax: 239-997-8462
Tel: 239-997-7797 Fax: 239-997-8462
Registration Information:
NPI: 1730444258
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 222Q00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Developmental Therapist |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
