Individual
RYAN MADISON HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
520 LEW DEWITT BLVD STE 201, WAYNESBORO, VA 22980-1644
(540) 451-2021
Mailing address
520 LEW DEWITT BLVD STE 201, WAYNESBORO, VA 22980-1644
(540) 451-2021
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119010600
VA
225XP0200X
Pediatric Occupational Therapist
0119010600
VA
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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