Provider Demographics
NPI:1053348730
Name:COLLINS, DANIEL P (PT)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:P
Last Name:COLLINS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 N MAIN ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701-2416
Mailing Address - Country:US
Mailing Address - Phone:802-773-4900
Mailing Address - Fax:802-774-5600
Practice Address - Street 1:230 N MAIN ST
Practice Address - Street 2:SUITE 5
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-2416
Practice Address - Country:US
Practice Address - Phone:802-773-4900
Practice Address - Fax:802-774-5600
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0400003307225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist