Individual
HOLLY BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
19411 MCKAY DR STE 300, HUMBLE, TX 77338-5713
(281) 446-2680
Mailing address
22221 CYPRESSWOOD DR APT 315, SPRING, TX 77373-7175
(315) 527-9482
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
120226
TX
Other
Enumeration date
02/23/2020
Last updated
02/23/2020
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