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Contact Information

LAURA COLLINS
909 MARACEL LOOP
CRESTVIEW, FL32536-5434
 Phone: 503-464-6934
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Early Intervention Provider Agency

252Y00000X
 

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for LAURA COLLINS · (Female)

NPI Number 1982013892
Status Active
Credentials
Entity Individual
Enumeration date 08/05/2014
Last updated 08/05/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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