Healthcare Provider Details

I. General information

NPI: 1386433217
Provider Name (Legal Business Name): CATLIN HOLLEN
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2025
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1062 W MERCURY BLVD STE B
HAMPTON VA
23666-1068
US

IV. Provider business mailing address

5180 CEDAR VILLAGE DR
MASON OH
45040-3701
US

V. Phone/Fax

Practice location:
  • Phone: 757-644-0644
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT013228
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT-VA-82
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: