Individual
SAMUEL COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
160 RIVERSIDE DR, AUGUSTA, ME 04330-4162
(207) 622-9467
(207) 623-2874
Mailing address
160 RIVERSIDE DR, AUGUSTA, ME 04330-4162
(207) 622-9467
(207) 623-2874
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA4523
ME
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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