Individual
HOLLY OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7501 LEAD MINE RD, RALEIGH, NC 27615-5847
(919) 870-0222
Mailing address
900 HARDIMONT RD, RALEIGH, NC 27609-6757
(919) 522-2439
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13964
NC
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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