Individual
JENNA RUBY HOLDAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR
Contact information
Practice address
711 W INDEPENDENCE BLVD, MOUNT AIRY, NC 27030-3576
(855) 983-0488
Mailing address
2950 FOX CREEK RD, MOUTH OF WILSON, VA 24363-3185
(276) 768-9513
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/04/2023
Last updated
07/24/2023
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