Provider Demographics
NPI:1467976365
Name:COLLINS, VIOLETA PEREZ (LMT, NMT)
Entity Type:Individual
Prefix:MRS
First Name:VIOLETA
Middle Name:PEREZ
Last Name:COLLINS
Suffix:
Gender:F
Credentials:LMT, NMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 MAPLE LN
Mailing Address - Street 2:
Mailing Address - City:WATERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43566-1124
Mailing Address - Country:US
Mailing Address - Phone:419-787-3237
Mailing Address - Fax:
Practice Address - Street 1:5800 MONROE ST
Practice Address - Street 2:E8
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560
Practice Address - Country:US
Practice Address - Phone:419-787-3237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-01
Last Update Date:2017-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist