Provider Demographics
NPI:1245658780
Name:COLLINS, RYAN J (DPT)
Entity type:Individual
Prefix:MR
First Name:RYAN
Middle Name:J
Last Name:COLLINS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:223 PITTSBURGH STREET
Mailing Address - Street 2:
Mailing Address - City:SAXONBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:16056
Mailing Address - Country:US
Mailing Address - Phone:724-352-9445
Mailing Address - Fax:724-352-9588
Practice Address - Street 1:223 PITTSBURGH STREET
Practice Address - Street 2:
Practice Address - City:SAXONBURGH
Practice Address - State:PA
Practice Address - Zip Code:16056
Practice Address - Country:US
Practice Address - Phone:724-352-9445
Practice Address - Fax:724-352-9588
Is Sole Proprietor?:No
Enumeration Date:2014-04-02
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPT023388225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist