Individual
MRS. LISHA JANE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4203 QUIVIRA DR, HUTCHINSON, KS 67502-2245
(620) 664-1338
Mailing address
4203 QUIVIRA DR, HUTCHINSON, KS 67502-2245
(620) 664-1338
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00551
KS
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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