Individual
BRIAN SCOTT COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10980 NORCOM RD, PHILADELPHIA, PA 19154-2302
(215) 613-1070
Mailing address
9412 KIRKWOOD RD APT A, PHILADELPHIA, PA 19114-2606
(609) 238-7816
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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