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NPI Code Detail

MEDICARE: WENDY HOLMES

MEDICARE: WENDY HOLMES
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 Therapist0119002302VA

General Provider Information

NPI Number : 1932942042
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY HOLMES
Provider Business Mailing Address
First Line : 2420 PEMBERTON RD
Second Line :
City : RICHMOND
State : VA
Zip : 23233-2003
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2420 PEMBERTON RD
Second Line :
City : RICHMOND
State : VA
Zip : 23233-2003
Country : US
Telephone Number : 540-761-0962
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2024
Last Update Date : 06/17/2024

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Directions to “ WENDY HOLMES ” Practice Location

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