Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | OP003122L | PA |
NPI | 1033363577 |
---|---|
Provider Name | Carolyn Collins |
First Address | York, PA 17404-9055 |
Second Address | York, PA 17404-9055 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2008 |
Last Update Date | 11/11/2008 |