Individual
CHERYL MARIE COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
306 WHARF ST, BROOKINGS, OR 97415-0401
(541) 469-0405
Mailing address
1207 MOORE ST APT 6, BROOKINGS, OR 97415-9000
(707) 951-4621
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7400
OR
Other
Enumeration date
11/29/2010
Last updated
04/08/2020
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