Individual
MRS. ALISA M KOLLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
104 W PINCKNEY ST, ABBEVILLE, SC 29620-2124
(864) 366-9151
Mailing address
420 THOMSON CIR, ABBEVILLE, SC 29620-5656
(864) 366-5011
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4132
SC
Other
Enumeration date
08/12/2006
Last updated
04/11/2014
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