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Individual
MATTHEW IAN HOLBROOK
Active
Individual
MATTHEW IAN HOLBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPA
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
293310
KY
2255A2300X
Athletic Trainer
—
NULL
2279P1005X
Pulmonary Rehabilitation Registered Respiratory Therapist
—
NULL
Other
Enumeration date
02/18/2022
Last updated
11/01/2024
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