# COURTNEY LYNN HOLEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1043729148
- **Gender:** F
- **Credential:** MOTR/L

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | OTP-OT-LIC-8562 | MT | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225XP0200X | Pediatric Occupational Therapist | OT.0005125 | CO | — |
| 225XP0200X | Pediatric Occupational Therapist | — | NULL | — |

## Other

- **Enumeration date:** 09/21/2017
- **Last updated:** 09/13/2023