Individual
HOLLI D CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COF, CFO
Contact information
Practice address
2034 DABNEY RD, SUITE C, RICHMOND, VA 23230-3361
(804) 649-9043
(804) 783-8212
Mailing address
2034 DABNEY RD, SUITE C, RICHMOND, VA 23230-3361
(804) 649-9043
(804) 783-8212
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
C26328
MD
Other
Enumeration date
07/23/2007
Last updated
09/23/2008
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