Individual
MICHELLE ELIZABETH COLLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., D.P.T., M.S,
Contact information
Practice address
21 DIVISION ST, PAWTUCKET, RI 02860-5301
(401) 726-7100
(401) 722-9386
Mailing address
4 RICHMOND SQ STE 200, PROVIDENCE, RI 02906-5117
(401) 433-4172
(401) 433-0612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01212
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26563-0
BLUE CROSS
RI
01
—
409199
BLUECHIP
RI
Enumeration date
06/19/2006
Last updated
12/05/2017
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