Individual
TRACY COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
26103 SIX POINTS RD, SHERIDAN, IN 46069-9217
(765) 437-7513
Mailing address
26103 SIX POINTS RD, SHERIDAN, IN 46069-9217
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004151A
IN
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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