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Individual

AUDREY HOLTMEYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
174 BALLPARK RD, VIENNA, MO 65582-8043
(573) 422-3177
Mailing address
452 HIGHWAY A, IBERIA, MO 65486-8207
(573) 645-8751

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2016003644
MO

Other

Enumeration date
02/10/2020
Last updated
02/11/2020
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