Individual
ASHLEY HOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
887 E WILMETTE RD STE B, PALATINE, IL 60074-6495
(847) 345-3384
Mailing address
300 FOREST DR, CRYSTAL LAKE, IL 60014-7351
(815) 575-1373
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.006030
IL
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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