Individual
THOMAS HOLZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
881 POPLAR ST, OLD TOWN, ME 04468-5918
(207) 433-7778
(866) 220-5031
Mailing address
PO BOX 225, STILLWATER, ME 04489-0225
(207) 433-7778
(866) 220-5031
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1489
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT1489
OT LICENSE
ME
Enumeration date
09/18/2007
Last updated
11/26/2007
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