Individual
MS. VIRGINIA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MST
Contact information
Practice address
47 PORTLAND ST, PORTLAND, ME 04101-3188
(207) 773-9094
(207) 780-0300
Mailing address
60 EASTERN PROMENADE, PORTLAND, ME 04101-4464
(207) 773-9094
(207) 780-0300
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT1513
ME
Other
Enumeration date
01/20/2008
Last updated
08/01/2008
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