Individual
MR. DAMON O COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
23829 LITTLE MACK AVE, SUITE 100, SAINT CLAIR SHORES, MI 48080-1186
(586) 416-4281
(586) 412-8757
Mailing address
49445 GOLDEN GATE DR, MACOMB, MI 48044-5498
(586) 321-7606
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010002
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P33330002
MEDICARE PTAN
MI
Enumeration date
12/27/2006
Last updated
02/13/2017
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