Individual
LYNN HOLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1042 N MOUNTAIN AVE # 531, UPLAND, CA 91786-3695
(801) 372-9380
Mailing address
1042 N MOUNTAIN AVE #531, UPLAND, CA 91786
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
8575377-2402
UT
225200000X
Physical Therapy Assistant
Primary
PTA10729
CA
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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