NPI 1003052911

Nicole Holtz, COTA

Practitioner Occupational Therapy Assistant Stoughton, WI

Practice location

Address: 814 Jackson Street, Stoughton, WI 53589-1520
Phone: (608) 873-6448

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 4658027 (WI)

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Registry record

NPI: 1003052911
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Dec 2008
Record last updated: 23 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.