Provider Demographics
NPI:1467110528
Name:COLLIER, EMMA (PT)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:COLLIER
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 1:520 S 19TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-1449
Mailing Address - Country:US
Mailing Address - Phone:215-546-0251
Mailing Address - Fax:215-731-1345
Practice Address - Street 1:520 S 19TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19146-1449
Practice Address - Country:US
Practice Address - Phone:215-546-0251
Practice Address - Fax:215-731-1345
Is Sole Proprietor?:No
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT030039225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist