Provider Demographics
NPI:1699811398
Name:BILLINGS, HOLLY DEE (OTR)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:DEE
Last Name:BILLINGS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 432
Mailing Address - Street 2:
Mailing Address - City:HIGH SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32655-0432
Mailing Address - Country:US
Mailing Address - Phone:352-278-8151
Mailing Address - Fax:386-454-9359
Practice Address - Street 1:14540 NW STATE ROAD 45
Practice Address - Street 2:
Practice Address - City:HIGH SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32643-3342
Practice Address - Country:US
Practice Address - Phone:325-278-8151
Practice Address - Fax:386-454-9359
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 9576225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist