Individual
MS. VIRGINIA HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
201 S NORTHPARK LN, JOPLIN, MO 64801-8426
(417) 623-4313
(417) 621-0129
Mailing address
201 S NORTHPARK LN, JOPLIN, MO 64801-8426
(417) 623-4313
(417) 621-0129
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005011
MO
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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