Individual
ALEXA TAYLOR HOLGUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
21 ZACA LN, SAN LUIS OBISPO, CA 93401-7344
(805) 416-3384
Mailing address
446 STIMSON AVE APT D, PISMO BEACH, CA 93449-2700
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
20208
CA
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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