Individual
MS. COLLEEN MARIE HEINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.L.
Contact information
Practice address
413 13TH AVE, HOWARD LAKE GOOD SAMARITAN CTR, HOWARD LAKE, MN 55349-0316
(320) 543-0171
Mailing address
14203 71ST ST NW, ANNANDALE, MN 55302-3411
(320) 274-5825
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
200155
MN
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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