Individual
JONATHAN CLINTON COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS
Contact information
Practice address
1650 COCHRANE CIR BLDG 75033, FORT CARSON, CO 80913-4613
(719) 526-7607
Mailing address
559 VINCENT ST, ATTN: 21 MDOS/SGOC - FAM HLTH, PETERSON AFB, CO 80914-1540
(719) 526-2273
(877) 813-1756
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1261313
TX
225100000X
Physical Therapist
Primary
PTL.0015775
CO
Other
Enumeration date
07/31/2015
Last updated
11/13/2023
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