Individual
MRS. HEIDI MARIE HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3023 WILMINGTON RD, PEDIATRIC THERAPY PROFESSIONALS, NEW CASTLE, PA 16105
(724) 656-8814
(724) 656-8815
Mailing address
3627 CLEARVIEW DR, HERMITAGE, PA 16148
(724) 982-0970
(724) 982-0870
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OL005927L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1017856670001
MEDICAL ASSISTANCE NUMBER
PA
Enumeration date
03/26/2007
Last updated
07/08/2007
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