Individual
JEANINE COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38 BASSETT RD, WILLIAMSVILLE, NY 14221-8019
(716) 688-6424
Mailing address
38 BASSETT RD, WILLIAMSVILLE, NY 14221-8019
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
011374-1
NY
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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