Individual
MATTHEW HOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
8301 E PRENTICE AVE, GREENWOOD VILLAGE, CO 80111-2903
(719) 630-7500
Mailing address
8540 SCARBOROUGH DR STE 200, COLORADO SPRINGS, CO 80920-7513
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6965
AZ
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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