Individual
MRS. SHANNON LEE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.P.T.
Contact information
Practice address
25 RIDGEWOOD RD, SPRINGFIELD, VT 05156-3050
(802) 886-2172
(802) 886-2174
Mailing address
501 MT. HOLLY RD., SHREWSBURY, VT 05738
(802) 492-2235
(802) 886-2174
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040-0003378
VT
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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