Individual
STACY COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
813 WEAVER RD, MEMPHIS, IN 47143-9529
(502) 396-8999
Mailing address
813 WEAVER RD, MEMPHIS, IN 47143-9529
(502) 396-8999
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000210A
IN
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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