Individual
MICHAEL HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1311 N PECAN ST, NEWPORT, AR 72112-2816
(870) 523-9514
Mailing address
217 EAST ST APT 106, JONESBORO, AR 72401-2975
(870) 351-7820
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1301
AR
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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