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Individual

MS. COLLEEN GAY ZIMICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
79 CHILKAT AVE., KLUKWAN, AK 99827
(907) 766-2101
(907) 766-2104
Mailing address
PO BOX 778, HAINES, AK 99827-0778
(907) 766-2101
(907) 766-2104

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
197925
AK

Other

Enumeration date
11/21/2022
Last updated
11/21/2022
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