Individual
ANJELICA JADE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1630 COBBLESTONE CT, HOLLISTER, CA 95023-6744
(408) 612-5224
Mailing address
303 POTRERO ST STE 42-103, SANTA CRUZ, CA 95060-2779
(831) 466-9307
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21907
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116
OCCUPATIONAL THERAPY
CA
Enumeration date
01/08/2020
Last updated
04/23/2024
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