Individual
MRS. JULIE COLLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1409 SWAMP RD, GREEN BAY, WI 54313-1475
(920) 339-0700
(920) 330-0278
Mailing address
1142 ORLANDO DR, DE PERE, WI 54115-9484
(920) 339-0700
(920) 330-0278
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
11405-024
WI
Other
Enumeration date
04/26/2010
Last updated
04/28/2010
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