Individual
MR. CHARLES RAY HOLT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2406 ATHERHOLT RD, LYNCHBURG, VA 24501-2148
(434) 845-3554
Mailing address
202 HOWARDS MANOR DR, RUSTBURG, VA 24588-3677
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000021
VA
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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