Individual
PETER J COLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
3445 W VALLEY VIEW TRL, PHOENIX, AZ 85086-9155
(602) 315-6894
Mailing address
3445 W VALLEY VIEW TRL, PHOENIX, AZ 85086-9155
(602) 315-6894
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1712
AZ
2251C2600X
Cardiopulmonary Physical Therapist
1712
AZ
2251E1300X
Clinical Electrophysiology Physical Therapist
1712
AZ
2251G0304X
Geriatric Physical Therapist
1712
AZ
2251N0400X
Neurology Physical Therapist
1712
AZ
2251P0200X
Pediatric Physical Therapist
1712
AZ
2251S0007X
Sports Physical Therapist
1712
AZ
2251X0800X
Orthopedic Physical Therapist
Primary
1712
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
782880
—
AZ
Enumeration date
05/15/2007
Last updated
12/04/2012
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