Individual
CLINT HOLCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
250 FLANK RD, PETERSBURG, VA 23805-9117
(804) 861-2223
Mailing address
250 FLANK RD, PETERSBURG, VA 23805-9117
(804) 861-2223
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004674
VA
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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