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Individual

COLETTE GERMAINE LISTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
5 RISA BENJAMIN WAY, FREEHOLD, NJ 07728-8096
(814) 592-2015
Mailing address
5 RISA BENJAMIN WAY, FREEHOLD, NJ 07728-8096
(814) 592-2015

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10642
CA
225X00000X
Occupational Therapist
46TR00475500
NJ

Other

Enumeration date
03/27/2009
Last updated
07/16/2019
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