Provider Demographics
NPI:1447033030
Name:COLOMBANI, ADRIAN THOMAS (DPT)
Entity type:Individual
Prefix:
First Name:ADRIAN
Middle Name:THOMAS
Last Name:COLOMBANI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 HAZARD AVE
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-5428
Mailing Address - Country:US
Mailing Address - Phone:860-265-2571
Mailing Address - Fax:860-265-2574
Practice Address - Street 1:145 HAZARD AVE
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082-5428
Practice Address - Country:US
Practice Address - Phone:860-265-2571
Practice Address - Fax:860-265-2574
Is Sole Proprietor?:No
Enumeration Date:2023-08-16
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT14191225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist