Individual
HOLLY ANN ANKROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
15810 S 42ND ST, PHOENIX, AZ 85048-7409
(480) 759-0358
Mailing address
14035 S 45TH ST, PHOENIX, AZ 85044-6060
(480) 747-7334
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-010900
AZ
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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