Jason Kyle Colberg, DPT
Physical Therapist in Fall River, MA. Individual provider (NPI-1).
NPI number1619044989
StatusActive
Last updated in NPPESDec 13, 2013
Details
- NPI
- 1619044989
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jason Kyle Colberg
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 29, 2006
- Last updated
- Dec 13, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT01932 | RI | Yes |
Practice location
1822 N Main StFall River, MA 02720
Phone 508-678-1425 · Fax 508-678-1496
Mailing address
125 Church Pond DrTiverton, RI 02878-4449
Phone 401-624-3503
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