Individual
HEATHER LENORE COLLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
93 BELLWOOD LN, BLEDSOE, KY 40810
(606) 374-3450
Mailing address
PO BOX 1689, HYDEN, KY 41749-1689
(606) 374-3450
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R2858
KY
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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