Individual
RAE LYNN HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7235 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7137
(330) 498-8200
Mailing address
1838 WILLOW RIDGE DR, HEATH, OH 43056-1778
(740) 323-3471
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
243817
OH
Other
Enumeration date
10/31/2008
Last updated
10/31/2008
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