Individual
COLLEEN L COLVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9105 E 56TH ST STE 1, INDIANAPOLIS, IN 46216-2229
(317) 204-3736
Mailing address
6144 CARVEL AVE, INDIANAPOLIS, IN 46220-2039
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006669A
IN
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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