Individual
KEISHA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
63 LEE ST, WINDER, GA 30680-2016
(678) 425-0718
Mailing address
45 CINNAMON OAK CIRCLE, COVINGTON, GA 30016
(678) 231-9607
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001710
GA
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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