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1164114005
COLLEEN ALEXANDRA COLVILLE
SAN ANTONIO, TX
NPI
1164114005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2023-05-22
Last Update Date
2023-05-22
Business Address
COLLEEN ALEXANDRA COLVILLE MS OTR/L
15430 HUEBNER RD
SAN ANTONIO, TX 78248-0989
Phone number: 210-492-1928
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Mailing Address
COLLEEN ALEXANDRA COLVILLE MS OTR/L
1011 BROADWAY APT 540
SAN ANTONIO, TX 78215
Phone number: 484-340-2146
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