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Individual

JOSHUA COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA/L

Contact information

Practice address
12899 E 76TH ST N, 109, OWASSO, OK 74055-4021
(918) 609-6003
(918) 609-6002
Mailing address
12899 E 76TH ST N, 109, OWASSO, OK 74055-4021
(918) 609-6003
(918) 609-6002

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1243
OK

Other

Enumeration date
11/06/2012
Last updated
11/06/2012
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