NPI 1033454186
Melissa Lynn Hollis, COTA
Practice location
- Address
- 1333 N Blue Lake Ln, Pueblo West, CO 81007
- Phone
- (719) 671-1016
- Mailing address
- 1333 N Blue Lake Ln, Pueblo West, CO 81007-1234
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1033454186
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Nov 2012
- Record last updated
- 30 Nov 2012
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.