Provider Demographics
NPI:1144746629
Name:HOLMES, APRIL C
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:C
Last Name:HOLMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4841 S MAHOGANY TER
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34450-7487
Mailing Address - Country:US
Mailing Address - Phone:352-586-6491
Mailing Address - Fax:
Practice Address - Street 1:4841 S MAHOGANY TER
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34450-7487
Practice Address - Country:US
Practice Address - Phone:352-586-6491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-16
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist