Individual
HOLLY BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
12561 W STATE ROAD 32, YORKTOWN, IN 47396-9725
(765) 215-5618
Mailing address
12561 W STATE ROAD 32, YORKTOWN, IN 47396-9725
(765) 215-5618
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001866A
IN
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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