Individual
KIMBERLY ANN COLLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
100 COLOSSEO CIR, LAS CRUCES, NM 88012-9309
(575) 993-8092
(866) 528-1211
Mailing address
100 COLOSSEO CIR, LAS CRUCES, NM 88012-9309
(575) 993-8092
(866) 528-1211
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
2822
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2822
OCCUPATIONAL THERAPY BOARD LICENSE
NM
Enumeration date
07/29/2011
Last updated
07/29/2011
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