Whalio Doctors

NPI 1053854299

Kelli Sue Holmgren, OTA

Practitioner Occupational Therapy Assistant Davenport, IA

Practice location

Address
1532 Shamrock Dr, Davenport, IA 52807-7602
Phone
(563) 340-3665

Registered specialties (2)

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 00736 (IA)
Occupational Therapy Assistant
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 057.001964 (IL)

Registry record

NPI
1053854299
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Nov 2016
Record last updated
21 Nov 2016

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.