| Doctor Name: | JODI LEE KOLB |
| NPI Number: | 1295839785 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 2305204770 |
| Business Practice Address: | 25150 Hancock Ave Suite 100 Murrieta, CA - 925625987 |
| Business Phone Number: | 9516987720 |
| Business Fax Number: | 9516987451 |
| Mailing Address: | 32147 Via Benabarre, TEMECULA |
| State: | CA |
| Postal Code: | 925921039 |
| Phone Number: | 9516969353 |
| Fax Number: | 9519737216 |
| NPI Enumeration Date: | 09/12/2006 |
| NPI Last Update Date: | 10/12/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2305204770 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |