Breanna Lee Colvin, DPT

NPI #1306503651 in Randolph, Wisconsin

Provider Information

NPI Number: 1306503651
Entity Type: Individual
Name: Breanna Lee Colvin, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Nov 22, 2021
Last Updated: Nov 22, 2021

Practice Location

Address: 502 S HIGH ST
City: Randolph
State: Wisconsin
ZIP Code: 53956-1499
Phone: (570) 620-6135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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