Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251P0200X | Physical Therapist - Pediatrics | ||
Y | 2251P0200X | Physical Therapist - Pediatrics | 003516 | KY |
NPI | 1043219264 |
---|---|
Provider Name | Dr. Caroline Timoney Colvin |
First Address | Cincinnati, OH 45229-2833 |
Second Address | Cincinnati, OH 45229-2833 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2005 |
Last Update Date | 23/10/2018 |