Individual
COLLEEN J COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6331 SW 32 ST, MIRAMAR, FL 33023
(954) 989-5304
Mailing address
6331 SW 32ND ST, MIRAMAR, FL 33023-5003
(954) 989-5304
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA9359
FL
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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