Individual
JIMMIE WAYNE HOLLAND II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
45 MINE HILL DR, NORTH LITTLE ROCK, AR 72118-5202
(501) 940-5435
Mailing address
45 MINE HILL DR, NORTH LITTLE ROCK, AR 72118-5202
(501) 940-5435
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2678
AR
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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