Individual
HOLLY CAUDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD, PORT ORANGE, FL 32128
(888) 265-2680
Mailing address
5022 DOCKSIDE DR, WILMINGTON, NC 28409-3721
(910) 508-7446
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225X00000X
Occupational Therapist
Primary
OT60911713
WA
Other
Enumeration date
05/18/2015
Last updated
11/29/2018
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