Doctor Name: | MS. JAN ELIZABETH COLLINS |
NPI Number: | 1043381148 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | PT1442 |
Business Practice Address: | 2400 N Poplar St North Little Rock, AR - 721142326 |
Business Phone Number: | 5014878305 |
Business Fax Number: | |
Mailing Address: | 21704 Highway 161 S, ENGLAND |
State: | AR |
Postal Code: | 720469674 |
Phone Number: | 5014878305 |
Fax Number: | |
NPI Enumeration Date: | 11/11/2006 |
NPI Last Update Date: | 03/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | PT1442 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |