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NPI Code Detail

MEDICARE: AEDAN COLLINS OTR/L, OTD

MEDICARE: AEDAN COLLINS OTR/L, OTD
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 TherapistOTH-009731AZ

General Provider Information

NPI Number : 1427916105
Entity Type Code : Individual
Provider Name (Legal Business Name) : AEDAN COLLINS OTR/L, OTD
Provider Business Mailing Address
First Line : 3700 E WILLIAMS FIELD RD APT 1059
Second Line :
City : GILBERT
State : AZ
Zip : 85295-2000
Country : US
Telephone Number : 269-944-6421
Fax Number :
Provider Business Practice Location Address
First Line : 1617 S 67TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85043-7717
Country : US
Telephone Number : 623-707-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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