Individual
KIMBERLY HOLLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3201 RIVER PARK DR, FORT WORTH, TX 76116-9533
(817) 732-3636
Mailing address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2065246
TX
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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