Provider Demographics
NPI:1497719868
Name:COLLINS, BRIDGET MAUREEN (RKT, MS)
Entity Type:Individual
Prefix:MS
First Name:BRIDGET
Middle Name:MAUREEN
Last Name:COLLINS
Suffix:
Gender:F
Credentials:RKT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:23 W 440 SPYGLASS COURT
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540
Mailing Address - Country:US
Mailing Address - Phone:708-202-3936
Mailing Address - Fax:
Practice Address - Street 1:PM&R 117C
Practice Address - Street 2:HINES VETERANS ADMINISTRATION- ROOSEVELT ROAD
Practice Address - City:HINES
Practice Address - State:IL
Practice Address - Zip Code:60141
Practice Address - Country:US
Practice Address - Phone:708-202-3936
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist