Joan Mildred Mccollum, COTA/L
NPI #1306076740 in Agawam, Massachusetts
Provider Information
- NPI Number
- 1306076740
- Entity Type
- Individual
- Name
- Joan Mildred Mccollum, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Jul 20, 2009
- Last Updated
- Jul 20, 2009
Practice Location
- Address
- 65 COOPER ST
- City
- Agawam
- State
- Massachusetts
- ZIP Code
- 01001-2149
- Phone
- (413) 786-6774
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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