Individual
TRISHA COLLAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
700 DICKINSON RD, CHESTERTON, IN 46304-3540
(219) 983-1300
Mailing address
1060 KILARNEY ROAD, CHESTERTON, IN 46304
(219) 916-0484
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002701A
IN
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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