Individual
JORDAN COLLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
731 POLO RD, COLUMBIA, SC 29223-4462
(803) 788-5115
Mailing address
401 TWIN EAGLES DR, COLUMBIA, SC 29203-9024
(843) 560-6294
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5111
SC
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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