Individual
MS. KIMBERLY C COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
7213 S SIWELL RD, BYRAM, MS 39272-9776
(601) 346-9191
Mailing address
7213 S SIWELL RD, BYRAM, MS 39272-9776
(601) 346-9191
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2529
MS
Other
Enumeration date
02/22/2013
Last updated
02/22/2013
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