Individual
MISS KRISTINA LYN MCCOLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
620 COVINGTON CT, SEWELL, NJ 08080-3019
(856) 863-1765
(856) 696-5770
Mailing address
620 COVINGTON CT, SEWELL, NJ 08080-3019
(856) 863-1765
(856) 696-5770
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00160700
NJ
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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