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1205477353
JORDAN KATIBETH COLLINS
MOUNT PLEASANT, SC
NPI
1205477353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist Pediatrics
(Licence: SC OT.5685)
Enumeration Date
2019-09-30
Last Update Date
2019-09-30
Business Address
JORDAN KATIBETH COLLINS OTR/L
85C VINCENT DR
MOUNT PLEASANT, SC 29464-4030
Phone number: 843-425-7963
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Mailing Address
JORDAN KATIBETH COLLINS OTR/L
2065 BALMORAL DR
ROCK HILL, SC 29732-8841
Phone number: 803-372-7297
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