Provider Demographics
NPI:1841369824
Name:HOLLICH, CARA ANN (OTR)
Entity type:Individual
Prefix:MS
First Name:CARA
Middle Name:ANN
Last Name:HOLLICH
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 1:7930 NW 24TH ST
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-8145
Mailing Address - Country:US
Mailing Address - Phone:954-600-5945
Mailing Address - Fax:
Practice Address - Street 1:7930 NW 24TH ST
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-8145
Practice Address - Country:US
Practice Address - Phone:954-600-5945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL7684171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor