Individual
COLLEEN DWYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(800) 335-1060
Mailing address
84 COREY LN, ORTONVILLE, MI 48462-9707
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
499322
MI
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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