| NPI | 1891086625 |
|---|---|
| Former Legal Business Name | COLWILL PHYSICAL THERAPY, INC. |
| Entity Type | Organization |
| Authorized Contact | GRETCHEN A LEACHMAN Owner/CEO 408-615-1516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT26728) |
| 2251N0400X Physical Therapist, Neurology (Licence: CA PT26728) | |
| 2251S0007X Physical Therapist, Sports (Licence: CA PT26728) | |
| 2251G0304X Physical Therapist, Geriatrics (Licence: CA PT26728) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT26728) | |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2016-12-12 |