Individual
JOHAN S ROSS-HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
40233 WYNGATE CT, PALMDALE, CA 93551-7538
(166) 199-2626
Mailing address
40233 WYNGATE CT, PALMDALE, CA 93551-7538
(166) 199-2626
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
23192
CA
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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