Individual
LISA HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 MERIDIAN ST N, HUNTSVILLE, AL 35811-1845
(256) 852-5170
Mailing address
6703 ZACH LN SE, OWENS CROSS ROADS, AL 35763-8003
(256) 509-3667
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3757
AL
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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