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NPI Code Detail

MEDICARE: ROSEMARIE HOLLIDAY O.T.

MEDICARE: ROSEMARIE HOLLIDAY O.T.
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
1225X00000XOccupational Therapist1010CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DE5473OTHERCARAILROAD MEDICARE

General Provider Information

NPI Number : 1881827244
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSEMARIE HOLLIDAY O.T.
Provider Business Mailing Address
First Line : 3400 CALLOWAY DR STE 603
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93312-2514
Country : US
Telephone Number : 661-616-9102
Fax Number : 661-616-9199
Provider Business Practice Location Address
First Line : 420 34TH ST
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93301-2237
Country : US
Telephone Number : 661-377-1700
Fax Number : 661-616-9199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2009
Last Update Date : 03/10/2026

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