Individual
E'DEE HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1107 S CLAY ST, ENNIS, TX 75119-6414
(972) 875-9277
(972) 875-9385
Mailing address
1401 LYNDALE DR, ENNIS, TX 75119-2323
(972) 875-6777
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
403615
TX
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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