Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JIMMY DALE COLLEY JR., OTR/L
Active Sole ProprietorMR. JIMMY DALE COLLEY JR., OTR/L is a Occupational Therapist healthcare provider located in OTISVILLE, Michigan. NPI 1760972806 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · OTISVILLE, MI
Registration Details
- NPI Number
- 1760972806
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2018 (8.2930394964148 yrs)
- Last Updated
- May 15, 2018
- License
-
5201005312 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9179 FRANCES RDOTISVILLE, MI, 484639411Browse MI providers · Browse ZIP 48463
- Phone
- 8102102077
- Primary Specialty
-
Occupational Therapist
225X00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.