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1215681150
TRISHA COLLAZO
CHESTERTON, IN
NPI
1215681150
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Former Name
TRISHA BERRYMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32002701A)
Enumeration Date
2022-02-09
Last Update Date
2022-02-09
Business Address
TRISHA COLLAZO COTA/L
700 DICKINSON RD
CHESTERTON, IN 46304-3540
Phone number: 219-983-1300
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Mailing Address
TRISHA COLLAZO COTA/L
1060 KILARNEY ROAD
CHESTERTON, IN 46304
Phone number: 219-916-0484
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