| NPI | 1073125100 |
|---|---|
| Former Name | ALYSSA RAE COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31007983A) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2023-03-14 |