Whalio Doctors

NPI 1033454186

Melissa Lynn Hollis, COTA

Practitioner Occupational Therapy Assistant Pueblo West, CO

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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 275778 (CO)

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.