Individual
MRS. BRANDI N COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
476 LIBERTY RD, WEST LIBERTY, KY 41472-2049
(606) 743-3186
(606) 743-1693
Mailing address
476 LIBERTY RD, WEST LIBERTY, KY 41472-2049
(606) 743-3186
(606) 743-1693
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03947
KENTUCKY STATE LICENSE
KY
Enumeration date
08/31/2012
Last updated
08/31/2012
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