Individual
DEBRA L HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06504
MD
225X00000X
Occupational Therapist
U10000067
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0742831000
AMERIHEALTH/IBC
PA
01
—
1679646863
CHAMPUS TRICARE
—
Enumeration date
11/16/2006
Last updated
04/01/2016
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