Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 6031 | NC |
NPI | 1073652251 |
---|---|
Provider Name | Julia L Hollingsworth |
First Address | Raleigh, NC 27612-5208 |
Second Address | Raleigh, NC 27612-5208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2007 |
Last Update Date | 08/07/2007 |