Individual
DAVID HOLLERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
116 WALNUT ST, ATHENS, PA 18810-1735
(570) 888-0057
(570) 888-0058
Mailing address
655 NORTHERN BLVD, SOUTH ABINGTON TOWNSHIP, PA 18411-8740
(570) 842-9323
(570) 842-9362
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT028946
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT028946
DEPARTMENT OF STATE
PA
Enumeration date
10/07/2020
Last updated
10/07/2020
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