Individual
MRS. MARY L HOLLINGSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
745 S PEAR ORCHARD RD, RIDGELAND, MS 39157-5128
(601) 260-4605
Mailing address
745 S PEAR ORCHARD RD, RIDGELAND, MS 39157-5128
(601) 260-4605
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3411
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124646
—
MS
01
—
PT3411
MS LICENSE
MS
Enumeration date
05/18/2007
Last updated
10/17/2013
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