Mr Jimmy Dale Colley Jr, OTR/L is a
Occupational Therapist based in Otisville, Michigan. Mr Jimmy Dale Colley Jr is licensed to practice in Michigan (license number 5201005312) and his current practice location is
9179 Frances Rd, Otisville, Michigan. He can be reached at his office (for appointments etc.) via phone at
(810) 210-2077.
NPI number for Mr Jimmy Dale Colley Jr is 1760972806 and his current mailing address is 9179 Frances Rd, Otisville, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760972806.
Healthcare Provider's Profile
Full Name | Mr Jimmy Dale Colley Jr |
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Gender | Male |
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Speciality | Occupational Therapist |
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Location | 9179 Frances Rd, Otisville, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760972806
- Provider Enumeration Date: 05/15/2018
- Last Update Date: 05/15/2018
Medical Identifiers
Medical identifiers for Mr Jimmy Dale Colley Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760972806 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 5201005312 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jimmy Dale Colley Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Jimmy Dale Colley Jr, OTR/L 9179 Frances Rd, Otisville, MI 48463-9411 Ph: (810) 210-2077 | Mr Jimmy Dale Colley Jr, OTR/L 9179 Frances Rd, Otisville, MI 48463-9411 Ph: (810) 210-2077 |
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