-- COLEEN K. KING --
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1336302306- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 80 PROFESSIONAL CT, LAFAYETTE, IN, 479055152
- Phone
- (765) 448-1758
- Fax
- (765) 448-3898
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: IN #06001254A