Individual
MISS ANDREA MARGAUX COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
631 BEACON PKWY W, BIRMINGHAM, AL 35209-3124
(205) 945-4859
(205) 945-8605
Mailing address
5310 HARVEST RIDGE LN, BIRMINGHAM, AL 35242-3108
(205) 437-8081
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTH3695
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTH3695
PHYSICAL THERAPY LICENSE
AL
Enumeration date
12/07/2006
Last updated
07/08/2007
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