Individual
ROSS MCCOLLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
3391 E STATE HIGHWAY 243, KAUFMAN, TX 75142-6332
(972) 342-5365
Mailing address
3391 E STATE HIGHWAY 243, KAUFMAN, TX 75142-6332
(972) 342-5365
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211167
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
211167
TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS
TX
Enumeration date
07/21/2016
Last updated
07/21/2016
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