Healthcare Provider Details

I. General information

NPI: 1720921679
Provider Name (Legal Business Name): ERIN HOLLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 CLEBURNE PARK RD
HEBER SPRINGS AR
72543-9106
US

IV. Provider business mailing address

4329 RANCH RD
BEE BRANCH AR
72013-8846
US

V. Phone/Fax

Practice location:
  • Phone: 501-362-0943
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOT-A2204
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: