Individual
MRS. HOLLY MARIE ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7550 N 16TH ST, PHOENIX, AZ 85020-4618
(602) 371-4165
(602) 281-2499
Mailing address
7550 N 16TH ST, PHOENIX, AZ 85020-4618
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-008771
AZ
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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