Individual
MS. DEBRA J HOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
343 HYNDS AVE, CHEYENNE, WY 82007-1154
(970) 817-5456
Mailing address
343 HYNDS AVE, CHEYENNE, WY 82007-1154
(970) 817-5456
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 784
WY
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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