Individual
MR. MATTHEW JOHN COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
9089 CLAIREMONT MESA BLVD, SUITE 200, SAN DIEGO, CA 92123-1234
(800) 787-6787
Mailing address
9089 CLAIREMONT MESA BLVD, SUITE 200, SAN DIEGO, CA 92123-1234
(800) 787-6787
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT5179
CA
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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