Individual
KELLY CHRISTINE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
12708 RIATA VISTA CIR STE A106, AUSTIN, TX 78727-7174
(814) 853-2486
Mailing address
12708 RIATA VISTA CIR STE A106, AUSTIN, TX 78727-7174
(814) 853-2486
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214593
TX
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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