Individual
MICHAEL HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.R/L
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
(315) 464-5610
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2342
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
017988
NY
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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