Provider Demographics
NPI:1184212409
Name:COLLIER, JORI (PT, DPT, ATC)
Entity Type:Individual
Prefix:
First Name:JORI
Middle Name:
Last Name:COLLIER
Suffix:
Gender:F
Credentials:PT, DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 COOGEE LN APT 6308
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-8842
Mailing Address - Country:US
Mailing Address - Phone:571-263-4224
Mailing Address - Fax:
Practice Address - Street 1:1545 ORCHARD VILLAS AVE
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-4338
Practice Address - Country:US
Practice Address - Phone:919-954-4492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-03
Last Update Date:2021-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist