Laura Holley, | |
215 Bahia Via, Fort Myers Beach, FL 33931 | |
(630) 334-3366 | |
Not Available |
Full Name | Laura Holley |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 215 Bahia Via, Fort Myers Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659711190 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT15641 (Florida) | Primary |
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1053833657 PECOS PAC ID: 6507832573 Enrollment ID: O20171009003264 |
Mailing Address | Practice Location Address |
---|---|
Laura Holley, 215 Bahia Via, Fort Myers Beach, FL 33931 Ph: () - | Laura Holley, 215 Bahia Via, Fort Myers Beach, FL 33931 Ph: (630) 334-3366 |
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