Individual
MR. MICHAEL WADE COLLINS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
4410 BAY HILL DR, CONWAY, AR 72034-8196
(318) 680-5500
Mailing address
4410 BAY HILL DR, CONWAY, AR 72034-8196
(318) 680-5500
(318) 680-5500
Taxonomy
Speciality
Code
Description
License number
State
2251E1300X
Clinical Electrophysiology Physical Therapist
Primary
PT2750
AR
Other
Enumeration date
09/04/2006
Last updated
09/25/2012
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