Provider Demographics
NPI:1871670414
Name:KROHMER, COLLEEN MULLOOLY (LPTA)
Entity Type:Individual
Prefix:
First Name:COLLEEN
Middle Name:MULLOOLY
Last Name:KROHMER
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9907 GARFIELD DR
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-1507
Mailing Address - Country:US
Mailing Address - Phone:216-641-6100
Mailing Address - Fax:
Practice Address - Street 1:405 TALLMADGE RD
Practice Address - Street 2:SUITE 115
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-3342
Practice Address - Country:US
Practice Address - Phone:330-920-6526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03485225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant