Doctor Name: | MICHELLE ELIZABETH COLLIE |
NPI Number: | 1275578569 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T., D.P.T., M.S, |
License Number: | PT01212 |
Business Practice Address: | 1525 Wampanoag Trl Suite 205 Riverside, RI - 029151038 |
Business Phone Number: | 4014334049 |
Business Fax Number: | 4014330612 |
Mailing Address: | 1525 Wampanoag Trl, Suite 205 RIVERSIDE |
State: | RI |
Postal Code: | 029151038 |
Phone Number: | 4014334049 |
Fax Number: | 4014330612 |
NPI Enumeration Date: | 06/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT01212 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |