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Individual

LISA JOELLE HOLSINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, OTR/L

Contact information

Practice address
1218 EXCELSIOR AVE APT 5, OAKLAND, CA 94610-2883
(510) 629-1617
Mailing address
1218 EXCELSIOR AVE APT 5, OAKLAND, CA 94610-2883

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
13706
CA

Other

Enumeration date
09/13/2017
Last updated
09/13/2017
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