Individual
RACQUEL COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
549 BIRMINGHAM ST, BRIDGEPORT, CT 06606-3349
(203) 545-3049
Mailing address
549 BIRMINGHAM ST, BRIDGEPORT, CT 06606-3349
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4477
CT
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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