Individual
JESSE HOLLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
8200 GOOD LUCK RD, LANHAM, MD 20706-3511
(301) 552-2000
Mailing address
5121 LACKAWANNA ST, COLLEGE PARK, MD 20740-4530
(864) 607-1615
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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