Provider Demographics
NPI:1164156618
Name:HOLT, SARAH CATHERINE (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:CATHERINE
Last Name:HOLT
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10615 NELAND ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-8618
Mailing Address - Country:US
Mailing Address - Phone:704-301-6230
Mailing Address - Fax:
Practice Address - Street 1:4924 HOLLAND CHURCH RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-9729
Practice Address - Country:US
Practice Address - Phone:919-896-2249
Practice Address - Fax:919-591-0331
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-11
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11777225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist