Individual
MRS. ARDYSS CAROL COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A
Contact information
Practice address
23926 4TH AVE, SIREN, WI 54872-8312
(715) 349-2292
Mailing address
27371 E DEVILS LAKE RD, WEBSTER, WI 54893-8703
(715) 866-7999
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1774-027
WI
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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