Individual
MS. COLLEEN RHEA MACKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
280 EAST MAIN STREET, SUITE 132, NEWARK, DE 19711
(302) 709-0440
(302) 709-0443
Mailing address
280 EAST MAIN STREET, SUITE 132, NEWARK, DE 19711
(302) 709-0440
(302) 709-0443
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
U20001190
DE
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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