Individual
TIFFANY RENITA COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8060 KNUE ROAD, INDIANAPOLIS, IN 46250
(317) 842-7435
Mailing address
3108 LOWE LANE, EVANSVILLE, IN 47714
(812) 437-2410
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001437A
IN
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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