Search › Massachusetts › 163WM1400X
Theodora Colburn, BA BS RN
NPI 1508111964 · on the registry since 2012 · sole proprietor
Practice
- Address
- 38 Olmstead St
Jamaica Plain, MA 02130 - Phone
- (617) 514-1515
- Fax
- (617) 083-5610
Registry record
- Primary taxonomy
- 163WM1400X
163WM1400X
- Also registered as
- 364SR0400X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-07-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts