Individual
JUSTIN HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6590 TRYON RD, CARY, NC 27518-7052
(919) 851-8000
Mailing address
3537 SUGAR TREE PL, DURHAM, NC 27713-1376
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
8802
NC
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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