Provider Demographics
NPI:1083834717
Name:COLLINS, CRISTIANA KAHL (PT)
Entity Type:Individual
Prefix:MS
First Name:CRISTIANA
Middle Name:KAHL
Last Name:COLLINS
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:2 BAYARD STREET
Mailing Address - Street 2:3C
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211
Mailing Address - Country:US
Mailing Address - Phone:347-463-9461
Mailing Address - Fax:718-780-4524
Practice Address - Street 1:1 UNIVERSITY PLZ
Practice Address - Street 2:DIVISION OF PHYSICAL THERAPY
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-5301
Practice Address - Country:US
Practice Address - Phone:718-780-4521
Practice Address - Fax:718-780-4524
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY9641225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist