| Jenna Ruby Holdaway, OTD, OTR | |
|
711 W Independence Blvd, Mount Airy, NC 27030-3576 | |
| (855) 983-0488 | |
| Not Available |
| Full Name | Jenna Ruby Holdaway |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 711 W Independence Blvd, Mount Airy, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750068474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Kidology Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730591991 PECOS PAC ID: 3476943887 Enrollment ID: O20211129001112 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Ruby Holdaway, OTD, OTR 2950 Fox Creek Rd, Mouth Of Wilson, VA 24363-3185 Ph: (276) 768-9513 | Jenna Ruby Holdaway, OTD, OTR 711 W Independence Blvd, Mount Airy, NC 27030-3576 Ph: (855) 983-0488 |
Malee Lambert, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 711 W Independence Blvd, Mount Airy, NC 27030 Phone: 855-983-0488 | |
Ashton White, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 711 W Independence Blvd, Mount Airy, NC 27030 Phone: 855-983-0488 | |
Lakin East, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1287 Newsome St, Mount Airy, NC 27030 Phone: 336-786-2133 | |
Carol Fahrner, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 314 S South St, Mount Airy, NC 27030 Phone: 336-719-7129 | |
Caitlin Suzanna Knox Cline, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Ridge Crest Ln, Mount Airy, NC 27030 Phone: 336-786-9100 | |
Natalee Jones, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 W Independence Blvd, Mount Airy, NC 27030 Phone: 855-983-0488 | |
Angela Marie Conley Stroup, OT/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 314 S South St, Mount Airy, NC 27030 Phone: 336-719-7129 Fax: 336-719-7396 |