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Individual
MARY ELIZABETH COLLIER
Active
Individual
MARY ELIZABETH COLLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.009706
IL
225XG0600X
Gerontology Occupational Therapist
Primary
133707
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790035624
—
KY
Enumeration date
09/18/2012
Last updated
09/04/2021
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