Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. HOLLY LYNNE WAGGONER, COTA/L
Active Sole ProprietorMRS. HOLLY LYNNE WAGGONER, COTA/L is a Occupational Therapy Assistant healthcare provider located in CHILLICOTHE, Illinois. NPI 1790310498 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · CHILLICOTHE, IL
Registration Details
- NPI Number
- 1790310498
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 3, 2020 (6.2684546105303 yrs)
- Last Updated
- Mar 3, 2020
- License
-
057005036 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1028 W HILLCREST DRCHILLICOTHE, IL, 615232258Browse IL providers · Browse ZIP 61523
- Phone
- 3092742194
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in CHILLICOTHE, IL
| Name | Credential | NPI |
|---|---|---|
| KATE JOANN HOLLER | — | 1811466626 |
| VANESSA K BOHM | COTA | 1932739836 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.