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Individual

JESSICA F COLLINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
163 LIBBEY INDUSTRIAL PKWY STE 302, WEYMOUTH, MA 02189
(781) 335-6663
Mailing address
163 LIBBEY INDUSTRIAL PKWY STE 302, WEYMOUTH, MA 02189-3137
(781) 335-6663

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
118594
TX
225X00000X
Occupational Therapist
Primary
12725
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
118594
STATE OF TEXAS OCCUPATIONAL THERAPY LICENSE
TX
Enumeration date
10/05/2017
Last updated
02/12/2022
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