Individual
MIRANDA J KOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L CLT
Contact information
Practice address
3800 ELI PL, HAMILTON POINT HEALTH AND REHAB, NEWBURGH, IN 47630-7436
(812) 853-5300
Mailing address
3800 ELI PL, HAMILTON POINT HEALTH AND REHAB, NEWBURGH, IN 47630-7436
(812) 853-5300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004473A
IN
225X00000X
Occupational Therapist
R3772
KY
Other
Enumeration date
08/28/2007
Last updated
10/08/2012
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