Individual
MR. TIMOTHY DEMETRIUS HOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T.R./L
Contact information
Practice address
833 PRINCETON AVE SW, BIRMINGHAM, AL 35211-1323
(205) 780-7053
(205) 206-8300
Mailing address
1945 SCOTTSVILLE RD, B2, PMB356, BOWLING GREEN, KY 42104-3376
(270) 842-8824
(270) 842-7917
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2479
AL
Other
Enumeration date
07/26/2007
Last updated
07/26/2007
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