MRS. Holly Lynne Waggoner, COTA/L
NPI #1790310498 in Chillicothe, Illinois
Provider Information
- NPI Number
- 1790310498
- Entity Type
- Individual
- Name
- MRS. Holly Lynne Waggoner, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Mar 3, 2020
- Last Updated
- Mar 3, 2020
Practice Location
- Address
- 1028 W HILLCREST DR
- City
- Chillicothe
- State
- Illinois
- ZIP Code
- 61523-2258
- Phone
- (309) 274-2194
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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