Corliss Collins

NPI #1144815424 in Grove, Oklahoma

Provider Information

NPI Number: 1144815424
Entity Type: Individual
Name: Corliss Collins
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Mar 8, 2021
Last Updated: Mar 8, 2021

Practice Location

Address: 1118 S MAIN ST
City: Grove
State: Oklahoma
ZIP Code: 74344-2800
Phone: (918) 786-9893

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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