Dr. Kimberly Rae Collins
Physical Therapist Physical Therapist - Sports
700 Carnation Ave Ste E
Corona del Mar
, California 92625-2061
Dr. Kimberly Rae Collins
Physical Therapist Physical Therapist - Sports
700 Carnation Ave Ste E
Corona del Mar
, California 92625-2061
(623) 696-7430
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About
Features
Specialties
- Physical Therapist
- Physical Therapist - Sports
Languages spoken
- English
Location
First Address
- Dr. Kimberly Rae Collins
- 611 E Balboa Blvd Apt A
- Newport Beach, CA
- Zip : 92661-0243
- Phone : (623) 696-7430
Second Address
- Dr. Kimberly Rae Collins
- 700 Carnation Ave Ste E
- Corona Del Mar, CA
- Zip : 92625-2061
- Phone : (949) 438-3722
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Is Dr. Kimberly Rae Collins a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 295777 | CA |
| Y | 2251S0007X | Physical Therapist - Sports | PT292577 | CA |
National Provider Identifier
| NPI | 1083158836 |
|---|---|
| Provider Name | Dr. Kimberly Rae Collins |
| First Address | Newport Beach, CA 92661-0243 |
| Second Address | Corona Del Mar, CA 92625-2061 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/12/2016 |
| Last Update Date | 17/08/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.