| NPI | 1205459526 |
|---|---|
| Former Name | CORTNEY LYNN COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT PTP-PT-LIC-19247) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT61029781) |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2023-03-01 |