MEDICARE: HOLLY DEE BILLINGS OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT 9576	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699811398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLY DEE BILLINGS OTR

Provider Business Mailing Address
First Line	:	PO BOX 432
Second Line	:
City	:	HIGH SPRINGS
State	:	FL
Zip	:	32655-0432
Country	:	US
Telephone Number	:	352-278-8151
Fax Number	:	386-454-9359

Provider Business Practice Location Address
First Line	:	14540 NW STATE ROAD 45
Second Line	:
City	:	HIGH SPRINGS
State	:	FL
Zip	:	32643-3342
Country	:	US
Telephone Number	:	325-278-8151
Fax Number	:	386-454-9359

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	07/08/2007

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Directions to “ HOLLY DEE BILLINGS OTR” Practice Location

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