Provider Demographics
NPI:1639102429
Name:COLLIER, ANNA (MPT)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:COLLIER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:
Other - Last Name:SALVATORI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:1801 NE 21ST ST
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33305-3209
Mailing Address - Country:US
Mailing Address - Phone:954-422-2234
Mailing Address - Fax:954-422-2234
Practice Address - Street 1:1801 NE 21ST ST
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33305-3209
Practice Address - Country:US
Practice Address - Phone:954-422-2234
Practice Address - Fax:954-422-2234
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 31164225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist