Individual
MICHELLE M COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 GRAHAM RD, JACKSONVILLE, AR 72076-3837
(501) 920-5644
(501) 812-4809
Mailing address
PO BOX 13525, MAUMELLE, AR 72113-0525
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3321
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT3321
STATE LICENSE
AR
Enumeration date
06/28/2012
Last updated
06/28/2012
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