Individual
MS. SHANNON FRYER HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1400 EMELINE AVE BLDG K, SANTA CRUZ, CA 95060-1976
(831) 713-7572
Mailing address
1400 EMELINE AVE BLDG K, SANTA CRUZ, CA 95060-1976
(831) 713-7572
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
7736
CA
Other
Enumeration date
05/21/2007
Last updated
05/17/2023
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