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Individual

JORDAN KATIBETH COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
85C VINCENT DR, MOUNT PLEASANT, SC 29464-4030
(843) 425-7963
Mailing address
2065 BALMORAL DR, ROCK HILL, SC 29732-8841
(803) 372-7297

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT.5685
SC

Other

Enumeration date
09/30/2019
Last updated
09/30/2019
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