Individual
COLLEEN WILLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3160 N ARIZONA AVE STE 106, CHANDLER, AZ 85225-7122
(480) 699-4845
Mailing address
4319 N 78TH ST APT G208, SCOTTSDALE, AZ 85251-3757
(517) 662-9098
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008599
AZ
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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