Individual
JENNIFER LYNN COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
709 W 5TH ST, BONHAM, TX 75418-4209
(903) 583-8551
Mailing address
709 W 5TH ST, BONHAM, TX 75418-4209
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119517
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115917
TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS
—
01
—
119517
TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS
TX
Enumeration date
03/02/2020
Last updated
03/02/2020
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