Individual
JESSICA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5977 E GRANT RD, SUITE 101, TUCSON, AZ 85712-2341
(520) 822-8640
(520) 822-8641
Mailing address
PO BOX 6570, PEORIA, AZ 85385-6570
(623) 398-8072
(623) 398-8235
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10344
AZ
2251X0800X
Orthopedic Physical Therapist
12436-24
WI
Other
Enumeration date
07/25/2013
Last updated
04/27/2015
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