Healthcare Provider Details

I. General information

NPI: 1932431079
Provider Name (Legal Business Name): MARLA FAITH HOLTZMAN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2010
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 MIGUEL CHAVEZ RD UNIT 1315
SANTA FE NM
87505-6955
US

IV. Provider business mailing address

2210 MIGUEL CHAVEZ RD UNIT 1315
SANTA FE NM
87505-6955
US

V. Phone/Fax

Practice location:
  • Phone: 513-379-9275
  • Fax:
Mailing address:
  • Phone: 513-379-9275
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT-2024-0107
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: