| NPI | 1003562760 |
|---|---|
| Former Name | SOTERO COLON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE J1-0015190) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: DE J3-0010905) |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2026-05-15 |