Individual
MRS. NICOLE FAITH HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1210 STILLWATER CT, GREENWOOD, IN 46142-1254
(317) 627-2152
Mailing address
1210 STILLWATER CT, GREENWOOD, IN 46142-1254
(317) 627-2152
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003019A
IN
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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