Individual
MRS. CARLA JEAN HOLMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
113 DEWS DR, WHITEHOUSE, TX 75791-5000
(903) 521-7561
Mailing address
643 PRINCESS PL, TYLER, TX 75704-6668
(903) 521-7561
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2018305
TX
Other
Enumeration date
07/02/2007
Last updated
12/20/2017
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