Individual
HOLLY A MARTIN-FILDEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
445 TAMARACH DR, EDWARDSVILLE, IL 62025-5243
(757) 729-8501
Mailing address
445 TAMARACH DR, EDWARDSVILLE, IL 62025-5243
(757) 729-8501
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2009008941
MO
Other
Enumeration date
05/05/2011
Last updated
05/05/2011
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