Individual
MR. ADAM A. HOLLERAN
Active
Individual
MR. ADAM A. HOLLERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.011729
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000512751
ANTHEM
OH
05
—
2755488
—
OH
01
—
P00463355
MEDICARE RAILROAD
OH
Enumeration date
04/04/2007
Last updated
09/23/2013
Update your record
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