Individual
KELLY DAWN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, CMT
Contact information
Practice address
4560 SE INTERNATIONAL WAY, STE. 100, CONSONUS HEALTHCARE SERVICES, MILWAUKIE, OR 97222
(971) 206-5200
(971) 206-5209
Mailing address
4560 SE INTERNATIONAL WAY, STE. 100, CONSONUS HEALTHCARE SERVICES, MILWAUKIE, OR 97222
(971) 206-5200
(971) 206-5209
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6279
CA
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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