Individual
LAURIE JO COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1116 WEBBER POND RD, VASSALBORO, ME 04989-3949
(079) 233-1002
Mailing address
229 COLLINS MILLS RD, WEST GARDINER, ME 04345-3414
(207) 441-2677
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OA1117
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
611592446
—
ME
Enumeration date
09/09/2010
Last updated
11/03/2023
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