Individual
MARK L. COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
48 MAST RD, GOFFSTOWN, NH 03045-2350
(603) 497-8717
Mailing address
525 BLACK BROOK RD, GOFFSTOWN, NH 03045-2910
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1083
NH
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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