| Doctor Name: | MS. COLLEEN WALSH |
| NPI Number: | 1558510305 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | PT00009442 |
| Business Practice Address: | 1600 Florida Rd Durango, CO - 813016836 |
| Business Phone Number: | 9703856969 |
| Business Fax Number: | 9702477810 |
| Mailing Address: | 725 E College Dr Unit 7, DURANGO |
| State: | CO |
| Postal Code: | 813015570 |
| Phone Number: | 9703311117 |
| Fax Number: | |
| NPI Enumeration Date: | 09/17/2008 |
| NPI Last Update Date: | 02/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | PT00009442 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |