Organization
HOLISTIC COMMUNITY THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH MARTIN OTD, MHA, OTR/L (OCCUPATIONAL THERAPIST)
(720) 297-4572
Entity
Organization
Contact information
Practice address
4339 NE 115TH AVE, PORTLAND, OR 97220-1409
(720) 297-4572
Mailing address
4339 NE 115TH AVE, PORTLAND, OR 97220-1409
(503) 882-0988
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/17/2019
Last updated
08/09/2020
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