Individual
MRS. LESLIE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5034 NEWFOREST DR APT 8309, SAN ANTONIO, TX 78229-5468
(832) 274-5911
Mailing address
12701 WEST AVE APT 712, SAN ANTONIO, TX 78216-1863
(501) 428-8204
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216131
TX
224Z00000X
Occupational Therapy Assistant
OT-A1382
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228808721
—
AR
Enumeration date
07/20/2018
Last updated
05/06/2020
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