Individual
MRS. JANICE JOHNSON HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1260 NOCHAWAY DR, ST AUGUSTINE, FL 32092-3463
(904) 501-1214
Mailing address
1260 NOCHAWAY DR, ST AUGUSTINE, FL 32092-3463
(904) 501-1214
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9478
FL
Other
Enumeration date
04/29/2008
Last updated
07/20/2020
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