Individual provider · Type 1 NPI

Colonie Elder

Rehabilitation Practitioner · Fort Bragg, CA

NPI number 1194678318 Active

Practice location

215 S Main St
Fort Bragg, CA 95437-4210

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1194678318

Colonie Elder's National Provider Identifier is 1194678318, issued on Feb 17, 2026. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Fort Bragg, CA. The record was last updated on Feb 17, 2026.