Individual
REX HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
480 CHARLOTTE ANN RD, MEDFORD, OR 97501-7909
(541) 773-1101
Mailing address
480 CHARLOTTE ANN RD, MEDFORD, OR 97501-7909
(541) 773-1101
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13826
OR
Other
Enumeration date
03/28/2012
Last updated
03/28/2012
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