Individual
NICOLE A COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
100 SUNSET DR, NEWARK, NY 14513-1068
(315) 332-2700
Mailing address
3733 DEER MEADOW RUN, MACEDON, NY 14502-9409
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012659-01
NY
Other
Enumeration date
02/16/2021
Last updated
02/24/2021
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