Individual
MISS AMBER N HOLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2027 WOODHAVEN DR, FORT WAYNE, IN 46819-1038
(260) 740-9467
Mailing address
2027 WOODHAVEN DR, FORT WAYNE, IN 46819-1038
(260) 740-9467
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
99041709A
IN
Other
Enumeration date
04/02/2010
Last updated
04/02/2010
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