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1063880136
KELLY COLLINS
INDIANAPOLIS, IN
NPI
1063880136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32002610A)
Enumeration Date
2015-09-08
Last Update Date
2021-05-25
Business Address
KELLY COLLINS COTA
8616 W 10TH ST
INDIANAPOLIS, IN 46234-2198
Phone number: 317-209-2800
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Mailing Address
KELLY COLLINS COTA
1688 ANDREWS DR
AVON, IN 46123-8164
Phone number: 317-551-3794
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