JOAN MILDRED MCCOLLUM

AGAWAM, MA
NPI1306076740
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MA  2840)
Enumeration Date2009-07-20
Last Update Date2009-07-20
Business Address
JOAN MILDRED MCCOLLUM COTA/L
65 COOPER ST
AGAWAM, MA 01001-2149
Phone number: 413-786-6774
Mailing Address
JOAN MILDRED MCCOLLUM COTA/L
65 COOPER ST
AGAWAM, MA 01001-2149
Phone number: 413-786-6774