Individual
MISS AMBER HOLCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.A.
Contact information
Practice address
121 CLYBURN ST, BECKLEY, WV 25801-3519
(304) 578-8155
Mailing address
121 CLYBURN ST, BECKLEY, WV 25801-3519
(304) 578-8155
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C1631
WV
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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