Individual
BRIAN EDWARD HOLLOWAY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
333 CHRISTIAN ST, WALLINGFORD, CT 06492-3818
(203) 697-2425
Mailing address
67R PENT RD, DURHAM, CT 06422-2204
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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