Individual
JENNIFER ANN COLLOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4712 SW 6TH AVE, TOPEKA, KS 66606-2272
(785) 271-9430
(785) 271-9430
Mailing address
639 NE MARGO CT, TOPEKA, KS 66617-4532
(785) 286-1426
(785) 271-9430
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00166
KS
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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