Individual
HOLLY M ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS/MOT/OTRL/WSI
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0005668
CO
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
OT.0005668
CO
225XP0200X
Pediatric Occupational Therapist
OT.0005668
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40862
NBCOT LICENSE NUMBER
—
01
—
5201010613
MICHIGAN STATE LICENSE
MI
01
—
OT.0005668
COLORADO STATE LICENSE NUMBER
CO
Enumeration date
07/06/2021
Last updated
07/06/2021
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