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Individual

MRS. JENNIFER DAWN COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1530 CLAY ST, CHILLICOTHE, MO 64601-2065
(660) 646-4215
Mailing address
498 PARK LN, CHILLICOTHE, MO 64601-1551

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2000174775
MO

Other

Enumeration date
06/20/2008
Last updated
06/20/2008
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