Individual
COLLIN MCDONELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14809 BLUE RIDGE CT, MOORPARK, CA 93021-5047
(805) 341-7496
Mailing address
14809 BLUE RIDGE CT, MOORPARK, CA 93021-5047
(805) 341-7496
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
43330
CA
Other
Enumeration date
12/28/2015
Last updated
04/26/2025
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