Provider Demographics
NPI:1851619431
Name:RAND, HOLLY ANN
Entity Type:Individual
Prefix:MS
First Name:HOLLY
Middle Name:ANN
Last Name:RAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:423 MAIN ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-3837
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:423 MAIN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-3837
Practice Address - Country:US
Practice Address - Phone:781-420-4669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-06
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist