| Doctor Name: | DR. BRENDA M COLLINS |
| NPI Number: | 1083760037 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 012846-1 |
| Business Practice Address: | 74 E Woodside Ave Patchogue, NY - 117721314 |
| Business Phone Number: | 6316548353 |
| Business Fax Number: | 6316541790 |
| Mailing Address: | 74 E Woodside Ave, PATCHOGUE |
| State: | NY |
| Postal Code: | 117721314 |
| Phone Number: | 6316548353 |
| Fax Number: | 6316541790 |
| NPI Enumeration Date: | 01/25/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 012846-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |