Provider Demographics
NPI:1518179597
Name:BOBBIE COLLINS AND ASSOCIATES PA
Entity Type:Organization
Organization Name:BOBBIE COLLINS AND ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:410-486-9461
Mailing Address - Street 1:3655-A OLD COURT ROAD
Mailing Address - Street 2:SUITE # 7
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208
Mailing Address - Country:US
Mailing Address - Phone:410-486-9461
Mailing Address - Fax:410-486-1376
Practice Address - Street 1:3655-A OLD COURT ROAD
Practice Address - Street 2:SUITE # 7
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208
Practice Address - Country:US
Practice Address - Phone:410-486-9461
Practice Address - Fax:410-486-1376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15111225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD398870001K386OtherBCBS
MDW3810001OtherBLUE CHOICE BC FEDERAL
S15765Medicare UPIN
MDW3810001OtherBLUE CHOICE BC FEDERAL