Individual
COLLIN ROBERT WIGELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1520 NUTMEG PL STE 111, COSTA MESA, CA 92626-2557
(714) 979-3500
Mailing address
1520 NUTMEG PL STE 111, COSTA MESA, CA 92626-2557
(714) 979-3500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
302960
CA
225100000X
Physical Therapist
—
—
Other
Enumeration date
09/27/2022
Last updated
12/27/2023
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