Individual
COLLETTE ANGELLE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
759 E LINDEN AVE, SALT LAKE CITY, UT 84102-2210
(415) 425-3663
Mailing address
759 E LINDEN AVE, SALT LAKE CITY, UT 84102-2210
(415) 425-3663
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 8903
UT
Other
Enumeration date
07/22/2007
Last updated
04/14/2016
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