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NPI Code Detail

MEDICARE: JILL A COLLINS OTR/CHT

MEDICARE: JILL A COLLINS OTR/CHT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist31001490AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000108540OTHERINBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174507081
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILL A COLLINS OTR/CHT
Provider Business Mailing Address
First Line : 3070 WARRICK DR
Second Line :
City : BOONVILLE
State : IN
Zip : 47601-9658
Country : US
Telephone Number : 812-431-0517
Fax Number :
Provider Business Practice Location Address
First Line : 7300 E INDIANA ST STE 102
Second Line :
City : EVANSVILLE
State : IN
Zip : 47715-7448
Country : US
Telephone Number : 812-476-0409
Fax Number : 812-476-1016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 12/26/2025

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Directions to “ JILL A COLLINS OTR/CHT” Practice Location

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