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Contact Information

HOLLY CAUDILL
5535 S WILLIAMSON BLVD
PORT ORANGE, FL32128
 Phone: 888-265-2680
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for HOLLY CAUDILL · (Female)

NPI # 1629456025
Status Active
Credentials
Entity Individual
Enumeration date 05/18/2015
Last updated 11/29/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • WA License # OT60911713
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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