Individual
HOLLY D CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1933 73RD ST, LUBBOCK, TX 79423-1601
(806) 474-8988
Mailing address
1933 73RD ST, LUBBOCK, TX 79423-1601
(806) 474-8988
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211806
TX
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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