Individual
MS. SANDRA DEAN HOLTZCLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
120 SHALLOTTE CROSSING PKWY, SUITE #5 BOX 202, SHALLOTTE, NC 28470-8117
(336) 491-5022
Mailing address
120 SHALLOTTE CROSSING PKWY STE 5, #202, SHALLOTTE, NC 28470-8118
(336) 491-5022
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2066
NC
225X00000X
Occupational Therapist
970633
OR
Other
Enumeration date
07/04/2007
Last updated
07/08/2007
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