Healthcare Provider Details

I. General information

NPI: 1407448004
Provider Name (Legal Business Name): ABBY GRACE COLLINS OTR/L, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABBY HALL

II. Dates (important events)

Enumeration Date: 02/05/2021
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 SAINT VINCENTS DR STE 100
BIRMINGHAM AL
35205-1638
US

IV. Provider business mailing address

805 SAINT VINCENTS DR STE 100
BIRMINGHAM AL
35205-1638
US

V. Phone/Fax

Practice location:
  • Phone: 205-939-3699
  • Fax: 205-484-2585
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5519
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number5519
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: