| NPI | 1528316478 |
|---|---|
| Former Name | KRISTIN COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA 026120) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 20054) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2021-02-09 |