| Doctor Name: | JOHN DOUGLAS KOLANDER |
| NPI Number: | 1508960980 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 1067841 |
| Business Practice Address: | 1018 E Loop 304 Crockett, TX - 758351806 |
| Business Phone Number: | 9365452044 |
| Business Fax Number: | 9365460021 |
| Mailing Address: | 1018 E Loop 304, CROCKETT |
| State: | TX |
| Postal Code: | 758351806 |
| Phone Number: | 9365452044 |
| Fax Number: | 9365460021 |
| NPI Enumeration Date: | 09/07/2006 |
| NPI Last Update Date: | 04/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1067841 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| 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 |