Colburn, Theodora

Colburn, Theodora is an sole proprietor health care provider with primary practice located at 38 Olmstead St , Jamaica Plain MA 02130-2910. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Nurse Massage Therapist (NMT), Physician Assistants & Advanced Practice Nursing Providers / Rehabilitation. Nursing Service Providers / Nurse Massage Therapist (NMT) is her primary health care specialty. Colburn, Theodora can be contacted via phone (617) 514-1515.

Contact Information

Primary practice address
38 Olmstead St Jamaica Plain MA 02130-2910
Phone: (617) 514-1515
Fax: (617) 083-5610
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Nurse Massage Therapist (NMT) 163WM1400X RN118502 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Rehabilitation 364SR0400X RN118502 Massachusetts

Profile Details

NPI number 1508111964
LBN Legal business name Colburn, Theodora
Credentials BA BS RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2012
Last updated Jul 20th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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