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Organization
MICHAEL WADE COLLINS PT INC
Active
Organization
MICHAEL WADE COLLINS PT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WADE COLLINS PT (PRESIDENT)
(318) 680-5500
Entity
Organization
Contact information
Practice address
1250 STATE ST, APT 3302, RICHARDSON, TX 75082-2033
(318) 680-5500
(501) 325-2577
Mailing address
1250 STATE ST, APT 3302, RICHARDSON, TX 75082-2033
(318) 680-5500
(501) 325-2577
Taxonomy
Speciality
Code
Description
License number
State
2251E1300X
Clinical Electrophysiology Physical Therapist
Primary
PT2750
AR
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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