Individual
BRIAN COLLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8407 DYKE RD, DYKE, VA 22935-1409
(434) 990-9053
Mailing address
8407 DYKE RD, DYKE, VA 22935-1409
(434) 990-9053
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000337
VA
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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