Provider Demographics
NPI:1992428437
Name:FREY-COLLINS, ZIOEN CHARLES
Entity type:Individual
Prefix:
First Name:ZIOEN
Middle Name:CHARLES
Last Name:FREY-COLLINS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1924 STONEGATE CIR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-1432
Mailing Address - Country:US
Mailing Address - Phone:907-764-8166
Mailing Address - Fax:
Practice Address - Street 1:1924 STONEGATE CIR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515-1432
Practice Address - Country:US
Practice Address - Phone:907-764-8166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-20
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist