Individual
JOHN BRADLEY HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2212 S CEDAR LN APT 203, FT OGLETHORPE, GA 30742-3329
(931) 993-6236
Mailing address
2212 S CEDAR LN APT 203, FT OGLETHORPE, GA 30742-3329
(931) 993-6236
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
4956
TN
225X00000X
Occupational Therapist
Primary
OT005906
GA
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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