Individual
MADISON COLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3261 HIGHWAY 49, COLLINS, MS 39428-3876
(601) 921-6043
Mailing address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-3803
MS
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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