Individual
MS. AGNES WHISNANT COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
416 N HIGHLAND ST, GASTONIA, NC 28052-2110
(704) 864-0371
(704) 853-0983
Mailing address
1714 WESLEY RD, MORGANTON, NC 28655-8800
(828) 433-7651
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4680
NC
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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