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Individual

MRS. LETA HOLLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
102 E GRAND PLZ, GRAND SALINE, TX 75140-1932
(903) 962-7901
(903) 962-3082
Mailing address
353 VZCR 1519, GRAND SALINE, TX 75140
(903) 963-4108
(903) 962-3082

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2024180
TX

Other

Enumeration date
09/23/2006
Last updated
07/08/2007
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