Individual
PATRICIA J COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
174 S FRANKLIN ST, SUITE 105, JUNEAU, AK 99801-1362
(907) 209-5117
Mailing address
5300 N DOUGLAS HWY, JUNEAU, AK 99801-9474
(907) 209-5117
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
101177
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101177
STATE OF ALASKA OCCUPATIONAL LICENSE NUMBER
AK
Enumeration date
01/24/2016
Last updated
01/24/2016
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