Individual
JENNA MICHELLE HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8213 MID CITIES BLVD STE 200, NORTH RICHLAND HILLS, TX 76182-4754
(972) 521-6234
Mailing address
501 W ROSEDALE ST APT 460, FORT WORTH, TX 76104-3580
(817) 291-3197
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
123205
TX
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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