Individual
MS. JENNIFER DIANE COLLINS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
130 CENTRAL AVE, BATES COLLEGE DEPARTMENT OF ATHLETICS, LEWISTON, ME 04240-6042
(207) 786-8258
(207) 755-5959
Mailing address
25 MARSTON ST, APT 301, LEWISTON, ME 04240-6170
(207) 577-0780
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT266
ME
Other
Enumeration date
04/19/2006
Last updated
07/08/2007
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