Individual
CLINTON DANIEL HOLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
101 REESE DR, RED OAK, TX 75154-2376
(469) 386-7430
Mailing address
2722 SUNSET DR, GLENN HEIGHTS, TX 75154-2024
(469) 386-7430
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211866
TX
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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