Individual
MRS. NANCY MICHELE HOLLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1765
TN
224Z00000X
Occupational Therapy Assistant
248331
KY
224Z00000X
Occupational Therapy Assistant
OC60968376
WA
224Z00000X
Occupational Therapy Assistant
OTA-2279
NV
224Z00000X
Occupational Therapy Assistant
OTA.0001210
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1765
—
TN
Enumeration date
03/07/2016
Last updated
07/09/2019
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