Individual
BRYAN JAMES HOLTSCLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
6638 MILL RD, CLEVELAND, OH, BRECKSVILLE, OH 44141
(440) 740-4000
Mailing address
5818 UNGER RD, ATWATER, OH 44201-9224
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA006888
OH
Other
Enumeration date
06/30/2017
Last updated
06/30/2017
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