Individual
MRS. WHITNEY HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT,PTA
Contact information
Practice address
101 FAIRVIEW PARK DRIVE, DUBLIN, GA 31021-2501
(478) 272-7494
(478) 272-2616
Mailing address
1018 HWY 80, DANVILLE, GA 31017-2068
(478) 290-6213
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003171
GA
2255A2300X
Athletic Trainer
AT001818
GA
Other
Enumeration date
12/03/2010
Last updated
11/12/2013
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