KELLY MCCOLLUM

FORT WAYNE, IN
NPI1447783816
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: OK  OT1754)
Enumeration Date2017-04-04
Last Update Date2020-09-20
Business Address
KELLY MCCOLLUM MSOTR/L
7506 COVINGTON HOLLOW LN
FORT WAYNE, IN 46804-6152
Phone number: 405-919-8142
Mailing Address
KELLY MCCOLLUM MSOTR/L
7506 COVINGTON HOLLOW LN
FORT WAYNE, IN 46804-6152
Phone number: 405-919-8142
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