Individual
DYLAN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5610 RICHMOND RD, TEXARKANA, TX 75503-0500
(903) 831-4081
Mailing address
105 DAWN ST, WAKE VILLAGE, TX 75501-5874
(903) 826-7200
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2109152
TX
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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