| NPI | 1932312352 |
|---|---|
| Other Name | COLLEEN MARIE PAVENTI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 15515) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH 09634) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2015-07-20 |