Individual
KEELY MACK COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 686-4411
Mailing address
660 RALPH MCGILL BLVD NE APT 4410, ATLANTA, GA 30312-1165
(703) 309-9866
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
PT015348
GA
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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