Individual
HOLLIE FASSNACHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
12881 KNOTT ST, STE 103, GARDEN GROVE, CA 92841-3925
(714) 892-6828
(714) 898-9720
Mailing address
12881 KNOTT ST, STE 103, GARDEN GROVE, CA 92841-3925
(714) 892-6828
(714) 898-9720
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2123
CA
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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