Individual
TIFFANI LYNETTE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
615 CANAL AVE E, WYNNE, AR 72396-3003
(870) 238-2233
(870) 208-8255
Mailing address
437 KIM ST E, WYNNE, AR 72396-3913
(870) 208-6883
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1576
AR
Other
Enumeration date
02/21/2020
Last updated
05/17/2023
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