Provider Demographics
NPI:1730356478
Name:HOLLUB, ARIANE VIRGINIA (OTR)
Entity type:Individual
Prefix:MS
First Name:ARIANE
Middle Name:VIRGINIA
Last Name:HOLLUB
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 1:4016 CREEKVIEW TRL
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76504-2117
Mailing Address - Country:US
Mailing Address - Phone:254-598-9166
Mailing Address - Fax:
Practice Address - Street 1:4016 CREEKVIEW TRL
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504-2117
Practice Address - Country:US
Practice Address - Phone:254-598-9166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-12
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31004314A225X00000X
TX110494225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist