Individual
DEREK JAMES HOLSINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
312 WARREN AVE, KINSTON, NC 28501-3840
(252) 523-0082
Mailing address
231 LOCUST DR, GREENVILLE, NC 27858-1759
(919) 223-4266
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000039892061
LICENSE ID NUMBER
NC
Enumeration date
01/20/2022
Last updated
01/20/2022
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