Individual
JENNICA NICOLE COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4415 RIO D ORO, SAN ANTONIO, TX 78233-6748
(210) 651-3339
(210) 651-3339
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
(610) 944-9782
(610) 438-2024
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110631
TX
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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