Holly Fales, COTA
NPI #1720617129 in Burlington, Wisconsin
Provider Information
- NPI Number
- 1720617129
- Entity Type
- Individual
- Name
- Holly Fales, COTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Apr 7, 2020
- Last Updated
- Apr 7, 2020
Practice Location
- Address
- 677 EAST STREET
- City
- Burlington
- State
- Wisconsin
- ZIP Code
- 53105-1639
- Phone
- (626) 763-9531
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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