Individual
XAVIER COLLAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
600 JULIAN LN STE 660, ARDEN, NC 28704-7815
(828) 684-3611
Mailing address
PO BOX 1848, NOVATO, CA 94948-1848
(415) 892-7560
(415) 892-7509
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11100
TN
225100000X
Physical Therapist
292550
CA
225200000X
Physical Therapy Assistant
Primary
CP001369T
NC
Other
Enumeration date
09/13/2017
Last updated
03/13/2020
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