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Individual

COURTNEY NICOLE HOLLINGSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2221 W DETROIT ST, BROKEN ARROW, OK 74012-3628
(918) 615-6492
Mailing address
1511 S BALTIMORE AVE APT 3, TULSA, OK 74119-4031
(573) 823-2110

Taxonomy

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

Other

Enumeration date
06/26/2019
Last updated
06/26/2019
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