Individual
HOLLY WINANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2092 WILTSEY CT SE, SALEM, OR 97306-6903
(626) 422-2579
Mailing address
2092 WILTSEY CT SE, SALEM, OR 97306-6903
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1787
CA
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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