Individual
MR. JAMES M COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1490 PANTOPS MOUNTAIN PL STE 202, CHARLOTTESVILLE, VA 22911-4601
(434) 245-6472
(434) 245-6474
Mailing address
PO BOS 69030, BALTIMORE, MD 21264-9030
(757) 873-2302
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305006495
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010206383
—
VA
01
—
C05954
MEDICARE GROUP PTAN
VA
Enumeration date
08/09/2006
Last updated
11/01/2024
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