Individual
D'ANDRE MONIQUE HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
6830 S VAN NESS AVE, LOS ANGELES, CA 90047-1654
(317) 445-8573
Mailing address
6830 S VAN NESS AVE, LOS ANGELES, CA 90047-1654
(317) 445-8573
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13332
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13332
CALIFORNIA BOARD OF OCCUPATIONAL THERAPY
CA
Enumeration date
01/20/2016
Last updated
01/20/2016
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