Individual
KORI LYNN COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10300 W 103RD ST, SUITE 300, OVERLAND PARK, KS 66214-2642
(913) 894-1910
Mailing address
7415 GRANT STREET, APT. 2, OMAHA, NE 68134
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
811
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
811
STATE LICENSE
NE
Enumeration date
10/12/2007
Last updated
10/12/2007
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