Individual
LAURA MARIE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SEIT
Contact information
Practice address
10868 DEPOT RD, REMSEN, NY 13438
(315) 368-7316
Mailing address
10868 DEPOT RD, REMSEN, NY 13438
(315) 368-7316
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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