Most Relevant Information
Provider Data
| NPI Number: | 1003828005 |
| Provider Name: | ALISA M KOLLMANN MOT, OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 4132 |
Most Important Dates
| Enumeration Date: | 08/12/2006 |
| Last Updated: | 04/11/2014 |
Provider Practice Location
104 W PINCKNEY ST
ABBEVILLE
SC
296202124
Practice Location Phone/Fax
| Phone: | 8643669151 |
| Fax: |
Provider Mailing Location
420 THOMSON CIR
ABBEVILLE
SC
296205656
Provider Mailing Phone/Fax
| Phone: | 8643665011 |
| Fax: |