Individual
MICHELLE DIAZ-COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1 STILES RD STE 203, SALEM, NH 03079-4804
(855) 390-7774
(855) 734-2274
Mailing address
142 PLEASANT VALLEY ST APT 190B2, METHUEN, MA 01844-7278
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11714
MA
225100000X
Physical Therapist
3840
NH
225100000X
Physical Therapist
PT016222
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11714
DPL PT LICENSE
MA
01
—
3840
PT STATE LICENSE
NH
Enumeration date
06/29/2007
Last updated
08/30/2020
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