Individual
MRS. COLLEEN MARY CARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
452 ORANGE AVE, CORONADO, CA 92118-1841
(217) 685-8885
Mailing address
452 ORANGE AVE, CORONADO, CA 92118-1841
(217) 685-8885
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002496
IL
225X00000X
Occupational Therapist
Primary
OT16523
CA
Other
Enumeration date
11/02/2011
Last updated
03/27/2026
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