Individual
MRS. REBEKAH ELKINS HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
OT005384
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT005384
OT LICENSE NUMBER
GA
Enumeration date
11/29/2011
Last updated
12/01/2014
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