Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 10222 | MA |
N | 2251C2600X | Cardiopulmonary | 10222 | MA |
N | 2251E1200X | Ergonomics | 10222 | MA |
N | 225XE1200X | Ergonomics | 10222 | MA |
N | 2251H1300X | Human Factors | 10222 | MA |
N | 225XH1300X | Human Factors | 10222 | MA |
N | 2251X0800X | Physical Therapist - Orthopedic | 10222 | MA |
NPI | 1538484852 |
---|---|
Provider Name | Dr. Sean M Collins |
First Address | Dracut, MA 01826-2029 |
Second Address | Dracut, MA 01826 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2010 |
Last Update Date | 17/08/2010 |