Individual
COLLEEN HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2521 WINDWARD WAY, CHULA VISTA, CA 91914-4526
(619) 621-5266
Mailing address
6455 LA JOLLA BLVD UNIT 157, LA JOLLA, CA 92037-6633
(336) 782-2284
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
22063
CA
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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