Individual
HOLLY AMANDA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
500 E VETERANS STREET, TOMAH, WI 54660
(608) 372-3971
(715) 284-1398
Mailing address
500 E VETERANS STREET, TOMAH, WI 54660
(608) 372-3971
(715) 284-1398
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
6089-26
WI
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6089-26
WISCONSIN LICENSE NUMBER
WI
Enumeration date
05/02/2017
Last updated
09/02/2022
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