Individual
KRISTINE CAROLINE MCCOLLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
418 RAILROAD ST STE 102, DANVILLE, PA 17821-1547
(570) 360-8646
Mailing address
110 KLINE RD, PAXINOS, PA 17860-7014
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC020160
PA
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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