Individual
MARY HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2475 WINNE AVE, HELENA, MT 59601-4914
(406) 442-1350
Mailing address
60 N BROADVIEW CT, COLUMBIA, MO 65201-6943
(573) 881-8410
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2016015555
MO
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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