Individual
HOLLY DONAHOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1310 BRADLEY DR, MOUNTAIN HOME, AR 72653-2730
(870) 424-4021
Mailing address
135 S CARDINAL DR APT 4, MOUNTAIN HOME, AR 72653-4360
(870) 814-6906
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT-A1712
OT
AR
Enumeration date
10/15/2021
Last updated
10/15/2021
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