Individual
AMY MAY COLLISHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 ERWIN RD, DURHAM, NC 27705-4504
(919) 684-5154
Mailing address
3000 ERWIN RD, DURHAM, NC 27705-4504
(919) 684-5154
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11285
NC
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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