MEDICARE: MR. CHRISTOPHER STUART COLLIER R.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	011040	CA

General Provider Information

NPI Number	:	1932421336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER STUART COLLIER R.P.T.

Provider Business Mailing Address
First Line	:	1755 OLEANDER DR
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95991-7319
Country	:	US
Telephone Number	:	530-713-5577
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 CIVIC CENTER BLVD
Second Line	:
City	:	YUBA CITY
State	:	CA
Zip	:	95993-3013
Country	:	US
Telephone Number	:	530-671-6163
Fax Number	:

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

Provider Enumeration Date	:	02/26/2010
Last Update Date	:	02/26/2010

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