Individual
SUSAN HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4556 ROYAL OAK DR SW, ROANOKE, VA 24018-1732
(540) 989-8908
Mailing address
4556 ROYAL OAK DR SW, ROANOKE, VA 24018-1732
(540) 989-8908
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603829
VA
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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