Individual
NICOLE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4199 GATEWAY BLVD, NEWBURGH, IN 47630-8940
(812) 842-0283
Mailing address
4199 GATEWAY BLVD, NEWBURGH, IN 47630-8940
(812) 842-0283
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05016313A
IN
225100000X
Physical Therapist
15463
TN
2251P0200X
Pediatric Physical Therapist
Primary
05016313A
IN
2251P0200X
Pediatric Physical Therapist
Primary
15463
TN
Other
Enumeration date
03/04/2024
Last updated
05/08/2026
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