Individual
MR. ARTHUR JONATHAN COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,ATC.LAT
Contact information
Practice address
410 BLANDING BLVD, SUITE 6A, ORANGE PARK, FL 32073-5051
(904) 276-7881
(904) 276-7568
Mailing address
410 BLANDING BLVD, SUITE 6A, ORANGE PARK, FL 32073-5051
(904) 276-7881
(904) 276-7568
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1960
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K1374
MEDICARE GROUP NUMBER
FL
01
—
Y904K
BCBS PROVIDER
FL
Enumeration date
07/08/2005
Last updated
09/08/2010
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