Individual
COLLIN GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
250 LADYSLIPPER LANE, HILTON HEAD, SC 29926
(843) 689-7085
Mailing address
1302 E MILLS AVE, INDIANAPOLIS, IN 46227-3715
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6644
SC
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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