MEDICARE: DEBORAH ANN COLLAND P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	LPT-011605	AZ

General Provider Information

NPI Number	:	1881754695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH ANN COLLAND P.T.

Provider Business Mailing Address
First Line	:	20851 E RITTENHOUSE RD
Second Line	:
City	:	QUEEN CREEK
State	:	AZ
Zip	:	85142-4493
Country	:	US
Telephone Number	:	480-677-3294
Fax Number	:

Provider Business Practice Location Address
First Line	:	20851 E RITTENHOUSE RD
Second Line	:
City	:	QUEEN CREEK
State	:	AZ
Zip	:	85142-4493
Country	:	US
Telephone Number	:	480-677-3294
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	04/18/2023

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