Individual
LAURA LYNN HOLSHOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1706 MAGNOLIA WAY, AUGUSTA, GA 30909-9481
(706) 210-7529
(706) 312-7610
Mailing address
1706 MAGNOLIA WAY, AUGUSTA, GA 30909-9481
(706) 210-7529
(706) 312-7610
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012362
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003191370A
—
GA
Enumeration date
06/25/2016
Last updated
04/03/2019
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