| NPI | 1134323215 |
|---|---|
| Former Name | GRETCHEN L COLWILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 26728) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: CA PT26728) | |
| 2251N0400X Physical Therapist, Neurology (Licence: CA PT26728) | |
| 2251S0007X Physical Therapist, Sports (Licence: CA PT26728) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CA 26728) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2016-11-03 |