Provider Demographics
NPI:1093844805
Name:COLLINS, DEBORAH G (PT)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:G
Last Name:COLLINS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 CENTURY PARK S STE 128
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35226-3928
Mailing Address - Country:US
Mailing Address - Phone:205-823-1215
Mailing Address - Fax:
Practice Address - Street 1:700 CENTURY PARK S STE 128
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35226-3928
Practice Address - Country:US
Practice Address - Phone:205-823-1215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4222251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-72486OtherBCBS PROVIDER NUMBER