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Heather B Holguin, OT

Occupational Therapist in Valdosta, GA. Individual provider (NPI-1).

NPI number1982161774
StatusActive
Last updated in NPPESMay 26, 2022

Details

NPI
1982161774
Entity type
Individual (NPI-1)
Name
Mrs. Heather B Holguin
Credential
OT
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 27, 2019
Certification date
May 26, 2022
Last updated
May 26, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOT007280GAYes

Practice location

3354 Greystone Way
Valdosta, GA 31605-1096

Phone 229-244-3552 · Fax 229-244-7030

Mailing address

3354 Greystone Way
Valdosta, GA 31605-1096

Phone 229-244-3552 · Fax 229-244-7030

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