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Individual

EMILY VON HOLT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
501 S BRIGHTON LN, PALATINE, IL 60067-5811
(224) 800-9263
Mailing address
207 E HACKBERRY DR, ARLINGTON HEIGHTS, IL 60004-1513

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056011608
IL
261Q00000X
Clinic/Center
056011608
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1275604852
PRIVATE HEALTH INSURANCE
IL
Enumeration date
12/15/2016
Last updated
12/03/2020
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