NPI 1053926816

Tyler James Holloway, OTRL

Practitioner Pediatric Occupational Therapist Nampa, ID

Practice location

Address: 16171 N Brinson St, Nampa, ID 83687-5509
Phone: (208) 442-2525

Registered specialties

Pediatric Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225XP0200X Licence OT-2206 (ID)

Other Occupational Therapist providers in Idaho →

Registry record

NPI: 1053926816
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Sep 2020
Record last updated: 9 Sep 2020

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.