Individual
HOLLY BROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
580 LINCOLN PARK BLVD, KETTERING, OH 45429-3474
(937) 499-1400
Mailing address
5433 RED COACH RD, CENTERVILLE, OH 45429-6113
(937) 838-2366
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA 02967
OH
225X00000X
Occupational Therapist
Primary
008756
OH
Other
Enumeration date
03/31/2014
Last updated
01/09/2020
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