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Individual

JILL A COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/CHT

Contact information

Practice address
7300 E INDIANA ST STE 102, EVANSVILLE, IN 47715-7448
(812) 476-0409
(812) 476-1016
Mailing address
3070 WARRICK DR, BOONVILLE, IN 47601-9658
(812) 431-0517

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001490A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000108540
BLUE CROSS BLUE SHIELD
IN
05
200839330
IN
Enumeration date
12/05/2005
Last updated
12/26/2025
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