Individual
MEAGAN NICOLE HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,OTR/L
Contact information
Practice address
2110 N JACKSON ST, TULLAHOMA, TN 37388-2208
(931) 455-5189
(931) 393-2455
Mailing address
121 11TH AVE NW, WINCHESTER, TN 37398-1017
(931) 308-3223
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6393
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
446547
—
TN
Enumeration date
10/10/2019
Last updated
11/04/2019
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