Individual ProviderHolly L CouchOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4806 Timber Commons Dr, Suite B, Sandusky, OH 44870-7161(419) 621-1166PECOS EnrollmentBased on the most recent information from CMS, provider Holly L Couch does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1336257799Provider TypeIndividualFull NameCouch, Holly LCredentialOTR/LGenderFemaleSole ProprietorNoEnumeration Date8/27/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address4806 Timber Commons Dr, Suite B, Sandusky, OH 44870-7161Phone(419) 621-1166Fax(419) 627-4263Mailing LocationMailing Address4806 Timber Commons Dr, Suite B, Sandusky, OH 44870-7161Phone(419) 621-1166Fax(419) 627-4263Provider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseOT-004512Ohio