Individual
TARAH NICOLE HOLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
46 W COLT SQUARE DR, FAYETTEVILLE, AR 72703-2813
(479) 582-2740
Mailing address
552 N TENNYSON LN, FAYETTEVILLE, AR 72704-7539
(479) 287-9647
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR2110
AR
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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