Individual
TIFFANY DAWN HOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
600 W BLANCHARD AVE, SOUTH HUTCHINSON, KS 67505-1526
(620) 663-7175
Mailing address
3300B RIDGEWOOD DR, HUTCHINSON, KS 67502-3903
(316) 734-4735
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-00593
KS
Other
Enumeration date
11/04/2009
Last updated
11/04/2009
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