Individual
MRS. VICTORIA ANN HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
700 HELEN ST, CLYDE, OH 43410
(419) 547-9595
(419) 547-1605
Mailing address
1122 CADY ST, MAUMEE, OH 43537
(419) 704-6912
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA02729
OH
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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