Individual
CHRISTINA MARIE COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1101 E COOLSPRING AVE, MICHIGAN CITY, IN 46360-6310
(219) 874-5211
Mailing address
2505 DUNBAR ST, CHESTERTON, IN 46304-3182
(219) 448-8446
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003043A
IN
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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