| Doctor Name: | DR. KATHALEEN CECILE MCCOLLUM |
| NPI Number: | 1679829246 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | 27317 |
| Business Practice Address: | 8391 N Davis Hwy Pensacola, FL - 325146048 |
| Business Phone Number: | 8504946100 |
| Business Fax Number: | |
| Mailing Address: | 7625 Paragon Rd Ste C, DAYTON |
| State: | OH |
| Postal Code: | 454594063 |
| Phone Number: | 8774806398 |
| Fax Number: | 8774706398 |
| NPI Enumeration Date: | 07/31/2012 |
| NPI Last Update Date: | 07/31/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 27317 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| 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 |