Individual
MR. JOHN COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
142 BERMUDA VILLAGE DR, ADVANCE, NC 27006-7867
(336) 940-6433
Mailing address
270 DONNELL CT, LEXINGTON, NC 27295-6790
(336) 775-1109
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3817
NC
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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