Individual
MRS. HOLLY MARIE SANDHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1315 CURT DR, CHAMPAIGN, IL 61821-1167
(217) 352-9334
(217) 352-9324
Mailing address
3415 WATERVILLE CT, CHAMPAIGN, IL 61822-7417
(217) 841-7230
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056006826
IL
Other
Enumeration date
10/30/2008
Last updated
06/17/2013
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