Debra L Holloway in Bolingbrook - Occupational Therapist
Debra L Holloway - NPI 1679646863
Debra L Holloway is a Occupational Therapist in Bolingbrook, Illinois. Debra L Holloway practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Debra L Holloway is 1679646863. The last update date is 2016-04-01.
Debra L Holloway's current location address is 790 Remington Blvd, Bolingbrook, Illinois. You can contact this provider via phone number 6302962223 and fax number 6307593251. The mailing address for Debra L Holloway is 790 Remington Blvd, Bolingbrook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debra L Holloway |
|---|---|
| Address | 790 Remington Blvd, Bolingbrook, Illinois |
| Phone Number | 6302962223 |
| Fax Number | 6307593251 |
| Sole Proprietor | N |
| Credentials | OT |
NPI Number Detail
| NPI Number | 1679646863 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2016-04-01 |
Provider Mailing Address Detail
| Address | 790 Remington Blvd |
|---|---|
| City | Bolingbrook |
| State | Illinois (IL) |
| Post Code | 604404909 |
| Phone Number | 6302962223 |
| Fax Number | 6307593251 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | U10000067 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 742831000 | PA | AMERIHEALTH/IBC | |
| 1679646863 | CHAMPUS TRICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Debra L Holloway by the Centers for Medicare & Medicaid Services?
The Debra L Holloway has been assigned the NPI (National Provider Identifier) 1679646863. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Debra L Holloway's physical address?
The Debra L Holloway is physically located at 790 Remington Blvd, in the city of Bolingbrook, IL, with the postal code 604404909.
What is the area of specialization for Debra L Holloway, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Debra L Holloway is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225X00000X.
When was the Debra L Holloway's 1679646863 issued?
The Debra L Holloway's 1679646863 was issued on 2006-11-16.
As of what date were the details related to Debra L Holloway most recently updated or revised?
The information pertaining to Debra L Holloway, including its address, specialty, and other relevant details, was last updated or revised on 2016-04-01.