Provider Demographics
NPI:1215260633
Name:FAST, HOLLY LYNN (COTA)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:LYNN
Last Name:FAST
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
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Mailing Address - Street 1:8110 S MARSHALL CT
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-5861
Mailing Address - Country:US
Mailing Address - Phone:720-231-9160
Mailing Address - Fax:303-933-2346
Practice Address - Street 1:8110 S MARSHALL CT
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-5861
Practice Address - Country:US
Practice Address - Phone:720-296-5522
Practice Address - Fax:303-988-0236
Is Sole Proprietor?:No
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant