Individual
MRS. KOLLIN SOTOLONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9285 MILLSTONE RETREAT LN, TOBINSPORT, IN 47520-5866
(317) 201-0446
Mailing address
9285 MILLSTONE RETREAT LN, TOBINSPORT, IN 47520-5866
(317) 201-0446
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
99025195A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200847560
—
IN
Enumeration date
05/02/2007
Last updated
04/08/2015
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