Individual
JENNA HOLLIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2205 NW 88TH ST, VANCOUVER, WA 98665-6503
(360) 852-4700
Mailing address
2205 NW 88TH ST, VANCOUVER, WA 98665-6503
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC00000647
WA
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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