Individual
KATIE HOLMES
Active
Individual
KATIE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006236
VA
225X00000X
Occupational Therapist
06423
MD
225X00000X
Occupational Therapist
T00765
MD
Other
Enumeration date
10/20/2009
Last updated
04/23/2020
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