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MR. JIMMY DALE COLLEY OTR/L
>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1760972806
Individual Registrant:MR. JIMMY DALE COLLEY OTR/L
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
9179 FRANCES RD OTISVILLE, MI 48463-9411 US
Tel: 810-210-2077 Fax: --
Tel: 810-210-2077 Fax: --
Contact information for business:
9179 FRANCES RD OTISVILLE, MI 48463-9411 US
Tel: 810-210-2077 Fax: --
Tel: 810-210-2077 Fax: --
Registration Information:
NPI: 1760972806
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist | MI | 5201005312 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
