Individual
CHRISTINE MICHELLE HOLLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
2465 BATHGATE AVE, BRONX, NY 10458-5928
(914) 736-0419
Mailing address
PO BOX 63, VERPLANCK, NY 10596
(914) 736-0419
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006959-1
NY
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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