Individual
KATIE MCCOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9085 TOWN CENTER PKWY, LAKEWOOD RANCH, FL 34202-4175
(919) 425-5080
Mailing address
9011 59TH AVENUE CIR E, BRADENTON, FL 34202-9665
(570) 854-9402
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA23240
FL
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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