Provider Demographics
NPI:1518225598
Name:COLSTON, ROSLYN D (CPED)
Entity Type:Individual
Prefix:
First Name:ROSLYN
Middle Name:D
Last Name:COLSTON
Suffix:
Gender:F
Credentials:CPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77550-5505
Mailing Address - Country:US
Mailing Address - Phone:409-763-8250
Mailing Address - Fax:409-763-6863
Practice Address - Street 1:625 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77550-5505
Practice Address - Country:US
Practice Address - Phone:409-763-8250
Practice Address - Fax:409-763-6863
Is Sole Proprietor?:No
Enumeration Date:2012-04-27
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224L00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPedorthist