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NPI Code Detail

MEDICARE: JENNIFER COLLINS OTR/L

MEDICARE: JENNIFER 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
1225X00000XOccupational Therapist5294OH

General Provider Information

NPI Number : 1992961080
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER COLLINS OTR/L
Provider Business Mailing Address
First Line : PO BOX 842
Second Line :
City : GNADENHUTTEN
State : OH
Zip : 44629-0842
Country : US
Telephone Number : 740-254-4581
Fax Number :
Provider Business Practice Location Address
First Line : 1471 WILLS CREEK VALLEY DR
Second Line :
City : CAMBRIDGE
State : OH
Zip : 43725-8620
Country : US
Telephone Number : 740-254-4581
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2008
Last Update Date : 07/29/2008

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Directions to “ JENNIFER COLLINS OTR/L” Practice Location

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