Kaylene Larae Holman, O.T.R.

NPI #1609286053 in Rice Lake, Wisconsin

Provider Information

NPI Number: 1609286053
Entity Type: Individual
Name: Kaylene Larae Holman, O.T.R.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: O.T.R.
Enumeration Date: May 6, 2014
Last Updated: May 6, 2014

Practice Location

Address: 1700 W STOUT ST
City: Rice Lake
State: Wisconsin
ZIP Code: 54868-5000
Phone: (715) 236-8403

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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