| NPI | 1922170232 |
|---|---|
| Former Name | LORA REBECCA HOLLIFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: FL OT6750) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT6750) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2012-04-05 |