Provider Demographics
NPI:1669649430
Name:OUTTEN, COLETTE NAIME (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:COLETTE
Middle Name:NAIME
Last Name:OUTTEN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 HALL HIGHWAY
Mailing Address - Street 2:MCCREADY FOUNDATION, INC.
Mailing Address - City:CRISFIELD
Mailing Address - State:MD
Mailing Address - Zip Code:21817-1237
Mailing Address - Country:US
Mailing Address - Phone:410-968-1200
Mailing Address - Fax:410-968-3178
Practice Address - Street 1:201 HALL HIGHWAY
Practice Address - Street 2:MCCREADY FOUNDATION INC
Practice Address - City:CRISFIELD
Practice Address - State:MD
Practice Address - Zip Code:21817-1237
Practice Address - Country:US
Practice Address - Phone:410-968-1200
Practice Address - Fax:410-968-3178
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21693225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist