Provider Demographics
NPI:1528543170
Name:DENNIS, HOLLY CHRISTINE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:CHRISTINE
Last Name:DENNIS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:HOLLY
Other - Middle Name:CHRISTINE
Other - Last Name:STEPHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2108 WOODFORD CT
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-2941
Mailing Address - Country:US
Mailing Address - Phone:251-288-0127
Mailing Address - Fax:
Practice Address - Street 1:1655 MCGILL AVE
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-1218
Practice Address - Country:US
Practice Address - Phone:251-476-6335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-29
Last Update Date:2018-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2602225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist