Individual
MS. JACQUELYN HEATHER COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
201 PLEASANT HILL RD, CHESTER, NJ 07930-2141
(201) 693-2742
Mailing address
35-02 VAN DUREN AVE, FAIR LAWN, NJ 07410-5008
(201) 693-2742
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01597300
NJ
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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