Individual
REBECCA A MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, A.T.C., L.A.T.
Contact information
Practice address
4825 DAVIS LN APT 322, AUSTIN, TX 78749-4547
(512) 970-2343
(512) 386-3270
Mailing address
4825 DAVIS LN APT 322, AUSTIN, TX 78749-4547
(512) 970-2343
(512) 386-3270
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2171
TX
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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