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1154963445
COLLIN WOLLENMANN
TERRE HAUTE, IN
NPI
1154963445
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
(Licence: IN 05013483A)
Enumeration Date
2019-10-08
Last Update Date
2019-10-08
Business Address
COLLIN WOLLENMANN DPT
1725 N 5TH ST
TERRE HAUTE, IN 47804-4010
Phone number: 812-242-3005
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Mailing Address
COLLIN WOLLENMANN DPT
1100 SPRUCE ST APT 9
TERRE HAUTE, IN 47807-2152
Phone number: 812-630-7180
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