Individual
MARISSA HOLLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
8704 E 48TH AVE APT 302, DENVER, CO 80238-3654
(562) 714-6462
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0018101
CO
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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