Individual
MRS. COLLEEN M. FOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1513 N 2ND ST, MEMPHIS, TN 38107-1003
(901) 791-0416
Mailing address
3346 STONE MEADOW CV, NESBIT, MS 38651-7300
(662) 519-6089
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0000001618
TN
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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