Individual
MRS. KATIE MARIE HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
302 ANDOVER DR, VALPARAISO, IN 46383-1392
(513) 255-6378
Mailing address
302 ANDOVER DR, VALPARAISO, IN 46383-1392
(513) 255-6378
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005501A
IN
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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