Individual
MRS. EMILY HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1333 1ST ST, SPRINGFIELD, OR 97477-3002
(541) 736-2700
Mailing address
1136 S 39TH ST, SPRINGFIELD, OR 97478-9552
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
LP2807
—
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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