# DEBRA L HOLLOWAY

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

## Provider details

- **NPI number:** 1679646863
- **Gender:** F
- **Credential:** OT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 06504 | MD | Yes |
| 225X00000X | Occupational Therapist | U10000067 | DE | — |

## Other

- **Enumeration date:** 11/16/2006
- **Last updated:** 04/01/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0742831000 | AMERIHEALTH/IBC | PA |
| 01 | — | 1679646863 | CHAMPUS TRICARE | — |