Individual
HOLLY SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COMS
Contact information
Practice address
941 SOUTH AVE APT A26, SECANE, PA 19018-3423
(717) 514-3358
Mailing address
200 YALE AVE, MORTON, PA 19070-1918
(610) 938-9000
Taxonomy
Speciality
Code
Description
License number
State
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
Primary
22364
—
Other
Enumeration date
08/20/2018
Last updated
06/18/2021
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