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MR. CRAIG JEFFREY HOLMES CTRS NPI 1972546182


NPI Information

NPI: 1972546182
Provider Name: MR. CRAIG JEFFREY HOLMES, CTRS
Classification: Recreation Therapist - 225800000X
Entity Type: Individual
Address:
3150 MADEIRA AVE
COSTA MESA, CA
ZIP 92626
Phone: (714) 931-3616
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MR. Craig Jeffrey Holmes, CTRS is a recreation therapist in Costa Mesa, CA. The provider is a recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. MR. Craig Jeffrey Holmes, CTRS NPI is 1972546182. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3150 MADEIRA AVE
COSTA MESA, CA
ZIP 92626-324
Phone: (714) 931-3616

The enumeration date for this NPI number is 6/14/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225800000XRecreation Therapist2750-TCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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