Individual
LAURA ANN HOLOBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4700 MEMORIAL DR, SUITE 150, BELLEVILLE, IL 62226-5373
(618) 257-5250
Mailing address
4700 MEMORIAL DR, SUITE 150, BELLEVILLE, IL 62226-5373
(618) 257-5250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056006672
IL
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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