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NPI Code Detail

MEDICARE: MRS. BARBARA M. COLLINS OTR/L

MEDICARE: MRS. BARBARA M. COLLINS OTR/L
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
1225XP0200XPediatric Occupational Therapist

General Provider Information

NPI Number : 1417059171
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BARBARA M. COLLINS OTR/L
Provider Business Mailing Address
First Line : 11103 LAKE KATHERINE CIR
Second Line :
City : CLERMONT
State : FL
Zip : 34711-5006
Country : US
Telephone Number : 352-408-3057
Fax Number :
Provider Business Practice Location Address
First Line : 405 S SEMINOLE AVE
Second Line :
City : MINNEOLA
State : FL
Zip : 34715-5520
Country : US
Telephone Number : 352-294-0212
Fax Number : 352-241-6361
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2006
Last Update Date : 07/08/2007

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