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General NPI Number Information
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NPI Number | 1164620118
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Entity Type | Individual
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Provider Name | COLLEEN S OHARA DPT
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Gender | Female
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 44 W SKIPPACK PIKE
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City | AMBLER
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State | PA
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Zip | 19002-5138
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Country | US
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Telephone | 267-419-2020
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Fax | 215-646-4062
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Provider Business Mailing Address
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Address Line | 2001 BUTTERFIELD RD STE 1600
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1211
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Country | US
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Telephone | 866-370-8206
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Fax | 517-435-3670
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | PT018102
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT018102
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License Number State | PA
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