Individual
TIMOTHY HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
5871 HARBOUR VIEW BLVD, SUFFOLK, VA 23435-3669
(757) 214-6279
Mailing address
205 COTEN WAY APT 304, NEWPORT NEWS, VA 23608-0103
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604078
VA
Other
Enumeration date
07/09/2017
Last updated
07/09/2017
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