Provider Demographics
NPI:1154603843
Name:COLLINS, ANN MARIE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:MARIE
Last Name:COLLINS
Suffix:
Gender:F
Credentials:OTR/L
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Other - First Name:
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Mailing Address - Street 1:142 SPORTSMAN ISLAND DR STE E
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29492-8524
Mailing Address - Country:US
Mailing Address - Phone:904-295-9253
Mailing Address - Fax:888-659-8008
Practice Address - Street 1:142 SPORTSMAN ISLAND DR STE E
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29492-8524
Practice Address - Country:US
Practice Address - Phone:904-295-9253
Practice Address - Fax:888-659-8008
Is Sole Proprietor?:No
Enumeration Date:2011-09-19
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT003029225XP0200X
SC4141225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics