Individual
HOLLY LOVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1100 N 4TH ST, LONGVIEW, TX 75601-4739
(318) 655-6698
Mailing address
6801 W 70TH ST LOT 52, SHREVEPORT, LA 71129-2334
(318) 655-6698
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213692
TX
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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