Individual
MR. WES HOLLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.PED.
Contact information
Practice address
1758 PARK PL, SUITE 300, MONTGOMERY, AL 36106-1127
(334) 538-7696
Mailing address
1055 STABLEWAY RD, PIKE ROAD, AL 36064-2764
(334) 277-1551
(909) 740-2012
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2588
BCP CERTIFICATION NUMBER
—
Enumeration date
12/18/2006
Last updated
07/08/2007
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