Individual
MRS. HOLLY NICOLE MATHIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
24 TEKE BURTON DRIVE, MITCHELL, IN 47446
(812) 849-2221
Mailing address
965 BELLBROOK RD, LOOGOOTEE, IN 47553-4613
(812) 486-9425
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004794A
IN
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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