Individual
JULIA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
911 SILVER RIDGE WAY, VALRICO, FL 33594-4228
(813) 928-3819
Mailing address
911 SILVER RIDGE WAY, VALRICO, FL 33594-4228
(813) 928-3819
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 20674
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA 20674
STATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE
FL
Enumeration date
08/21/2014
Last updated
08/21/2014
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