Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT.0005664 | CO |
NPI | 1023585494 |
---|---|
Provider Name | Julie Holmsley |
First Address | Louisville, CO 80027-9463 |
Second Address | Louisville, CO 80027-9463 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2018 |
Last Update Date | 24/10/2018 |