Individual provider · Type 1 NPI

Nicole Elise Holmes, OTR/L

Occupational Therapist · Santa Rosa, CA

NPI number 1336053412 Active

Practice location

4965 Canyon Dr
Santa Rosa, CA 95409-3204

Mailing address

1000 Yulupa Ave
Santa Rosa, CA 95405-7020

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X620 (CA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1336053412

Nicole Elise Holmes, OTR/L's National Provider Identifier is 1336053412, issued on Sep 28, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Sep 28, 2026.