ETHAN B. COLLIVER D.O. PLLC
Physical Therapy at Main St, Blacksburg, VA

License number
Virginia 0102202537
Category
Medical Practice
Type
Physical Medicine & Rehabilitation
Owner
Name: ETHAN B. COLLIVER D.O.
Title: PRESIDENT
Phone: (540) 345-3556
Address
Address 2
3706 S Main St, Blacksburg, VA 24060
PO Box 8310, Roanoke, VA 24014
National Provider ID: 1740572205
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ETHAN B. COLLIVER D.O. PLLC at bizstanding.com

Ethan B Colliver DO PLLC

2101 Walnut Dr, Blacksburg, VA 24060

Status:
Inactive
Registration:
Jan 26, 2011
State ID:
S3514330
Business type:
Limited Liability Company
Agent:
Ethan B Colliver,2101 Walnut Dr, Blacksburg, VA 24060

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