Provider Demographics
NPI:1609928977
Name:KIMBERLEY N. HOLLEY
Entity Type:Organization
Organization Name:KIMBERLEY N. HOLLEY
Other - Org Name:A PLUS THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLEY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:HOLLEY
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:334-712-1657
Mailing Address - Street 1:206 FOXFIRE DR
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-6004
Mailing Address - Country:US
Mailing Address - Phone:334-712-1657
Mailing Address - Fax:334-712-4927
Practice Address - Street 1:256 HONEYSUCKLE RD
Practice Address - Street 2:SUITE 13
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36305-1157
Practice Address - Country:US
Practice Address - Phone:334-712-1657
Practice Address - Fax:334-712-4927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1376225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty