Most Relevant Information
Provider Data
| NPI Number: | 1003322694 |
| Provider Name: | LAURA COLLINS ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 2974 |
Most Important Dates
| Enumeration Date: | 12/19/2017 |
| Last Updated: | 12/19/2017 |
Provider Practice Location
12 MARTIN ST
MILLBURY
MA
015272014
Practice Location Phone/Fax
| Phone: | 5088655841 |
| Fax: |
Provider Mailing Location
12 MARTIN ST
MILLBURY
MA
015272014
Provider Mailing Phone/Fax
| Phone: | 5088655841 |
| Fax: |