Individual
MISS SANDRA LORENE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 LANTON RD, WEST PLAINS, MO 65775-3854
(417) 256-2570
Mailing address
925 HIGHWAY VV, KENNETT, MO 63857-0071
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
226000000X
Recreational Therapist Assistant
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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