MEDICARE: ANN E COLLINS 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	PT15455	CA

General Provider Information

NPI Number	:	1861563363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN E COLLINS P.T.

Provider Business Mailing Address
First Line	:	1650 RESPONSE RD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95815-4807
Country	:	US
Telephone Number	:	916-614-4259
Fax Number	:	916-614-4210

Provider Business Practice Location Address
First Line	:	1650 RESPONSE RD
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95815-4807
Country	:	US
Telephone Number	:	916-614-4259
Fax Number	:	916-614-4210

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

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	01/27/2022

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