Individual
GRACE VICTORIA HOLLIFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1294 PRIDDY RD, KING, NC 27021-7485
(336) 296-1427
Mailing address
1008 LAVENDER LN, KERNERSVILLE, NC 27284-0038
(336) 207-2397
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
7598
NC
225X00000X
Occupational Therapist
Primary
10602
NC
Other
Enumeration date
07/29/2010
Last updated
10/07/2022
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