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Individual

CLIFTON THOMAS HOLLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
38051 MARKET SQ, ZEPHYRHILLS, FL 33542-7504
(813) 779-2057
(813) 779-2066
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 780-1255

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22368
FL

Other

Enumeration date
11/15/2011
Last updated
11/15/2011
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