Individual
GREGORY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
700 MAIN ST, WRAY, CO 80758-1739
(970) 332-3471
Mailing address
700 MAIN ST, WRAY, CO 80758-1739
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8221
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000166348
—
CO
Enumeration date
11/13/2006
Last updated
05/28/2020
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