Individual
BERRIE HOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5031 KATHRYN GLEN DR, ACWORTH, GA 30101-2018
(770) 670-8110
Mailing address
5031 KATHRYN GLEN DR, ACWORTH, GA 30101-2018
(770) 670-8110
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
5201006027
MI
225X00000X
Occupational Therapist
Primary
OT004229
GA
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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