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MR. JIMMY DALE COLLEY OTR/L

>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1760972806

Individual Registrant:
MR. JIMMY DALE COLLEY OTR/L
Gender: M
Sole Proprietor

Location and contact information for practice:
9179 FRANCES RD  OTISVILLE, MI 48463-9411 US
Tel: 810-210-2077  Fax: --

Contact information for business:
9179 FRANCES RD  OTISVILLE, MI 48463-9411 US
Tel: 810-210-2077  Fax: --

Registration Information:
NPI: 1760972806
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
MI5201005312

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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