Individual
HOLLY LYNN HATTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2661 RIVA RD, BLDG 600, SUITE 601, ANNAPOLIS, MD 21401-7353
(410) 266-6626
(410) 266-3026
Mailing address
2661 RIVA RD, BLDG 600, SUITE 601, ANNAPOLIS, MD 21401-7353
(410) 266-6626
(410) 266-3026
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3295
MD
Other
Enumeration date
02/24/2009
Last updated
06/30/2009
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