Individual
KRISTEN S COLLINS
Active
Individual
KRISTEN S COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006219
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099390
—
AZ
01
—
113748639
TAX ID
AZ
01
—
AZ0460590
BCBS AZ NUMBER
AZ
Enumeration date
06/23/2006
Last updated
08/11/2022
Update your record
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