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Individual

HOLLY MCGOVERN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
211 PLEASANT RIDGE RD, EL PASO, AR 72045-9741
(501) 796-3995
(501) 796-0515
Mailing address
211 PLEASANT RIDGE RD, EL PASO, AR 72045-9741
(412) 417-8743

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OT-A697
AR
225X00000X
Occupational Therapist
Primary
OTR2982
AR

Other

Enumeration date
09/18/2015
Last updated
03/10/2020
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