Individual
MICAH NICOLE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
20783 N 83RD AVE STE 103, PEORIA, AZ 85382-7430
(623) 444-8880
Mailing address
13354 W JESSE RED DR, PEORIA, AZ 85383-7900
(623) 696-2414
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-009368
AZ
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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