# HOLISTIC THERAPY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528254711
- **Authorized official:** CARL ALLEN PHILLIPS COTA/L (MANAGER / OWNER)
- **Authorized official phone:** (405) 609-7566

## Contact information

- **Practice address:** 2316 SANTA FE TER, EDMOND, OK 73012-4450
- **Practice address phone:** (405) 609-7566
- **Practice address fax:** (405) 330-4846
- **Mailing address:** 2316 SANTA FE TER, EDMOND, OK 73012-4450
- **Mailing address phone:** (405) 609-7566
- **Mailing address fax:** (405) 330-4846

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224Z00000X | Occupational Therapy Assistant | COTA/L | OK | — |
| 225100000X | Physical Therapist | PHYSICAL THERAPIST | OK | — |
| 225200000X | Physical Therapy Assistant | PTA | OK | — |
| 225X00000X | Occupational Therapist | OCCUPATIONAL THERAPY | OK | Yes |

## Other

- **Enumeration date:** 09/20/2007
- **Last updated:** 09/20/2007