Individual
MRS. HOLLY BAYES MILLARD
Active
Individual
MRS. HOLLY BAYES MILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005581
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155812
GREAT LAKES HLTH PLN
—
01
—
670C900250
BCBS
MI
Enumeration date
06/04/2006
Last updated
10/16/2014
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