Provider Demographics
NPI:1851585103
Name:COTTONE, HOLLY MICHELLE (OT)
Entity Type:Individual
Prefix:MRS
First Name:HOLLY
Middle Name:MICHELLE
Last Name:COTTONE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8021 KERN AVE
Mailing Address - Street 2:
Mailing Address - City:GILROY
Mailing Address - State:CA
Mailing Address - Zip Code:95020-4051
Mailing Address - Country:US
Mailing Address - Phone:408-846-6000
Mailing Address - Fax:408-846-6001
Practice Address - Street 1:8021 KERN AVE
Practice Address - Street 2:
Practice Address - City:GILROY
Practice Address - State:CA
Practice Address - Zip Code:95020-4051
Practice Address - Country:US
Practice Address - Phone:408-846-6000
Practice Address - Fax:408-846-6001
Is Sole Proprietor?:No
Enumeration Date:2007-08-30
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9795235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist