MEDICARE: MS. BARBARA J 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	15111	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	K386/39887001	OTHER	MD	BCBS PPO
2	118146	OTHER	MD	TRIGON BCBS
3	W3810001	OTHER	MD	BSF, CAREFIRST REGIONAL

General Provider Information

NPI Number	:	1912984345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BARBARA J COLLINS P.T.

Provider Business Mailing Address
First Line	:	3655A OLD COURT RD
Second Line	:	SUITE 7
City	:	PIKESVILLE
State	:	MD
Zip	:	21208-3959
Country	:	US
Telephone Number	:	410-486-9461
Fax Number	:	410-486-1376

Provider Business Practice Location Address
First Line	:	3655A OLD COURT RD
Second Line	:	SUITE 7
City	:	PIKESVILLE
State	:	MD
Zip	:	21208-3959
Country	:	US
Telephone Number	:	410-486-9461
Fax Number	:	410-486-1376

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

Provider Enumeration Date	:	12/28/2005
Last Update Date	:	07/08/2007

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