Individual provider · Type 1 NPI
Nicole Elise Holmes, OTR/L
Occupational Therapist · Santa Rosa, CA
Practice location
4965 Canyon Dr
Santa Rosa, CA 95409-3204
Mailing address
1000 Yulupa Ave
Santa Rosa, CA 95405-7020
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist Primary | 225X00000X | 620 (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.