Individual
CHARITY COLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2512 COUNTY ROUTE 24, HERMON, NY 13652-3151
(315) 562-3227
Mailing address
2512 COUNTY ROUTE 24, HERMON, NY 13652-3151
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
012233-1
NY
Other
Enumeration date
11/15/2016
Last updated
01/29/2021
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