Individual
ANDREW MARTIN HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
720 12TH ST SE, AUBURN, WA 98002-6708
(253) 735-3606
(253) 351-9807
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2517
MN
225100000X
Physical Therapist
Primary
PT 60252025
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0291064
DEPT. OF LABOR AND INDUSTRIES
WA
05
—
1316173586
—
WA
Enumeration date
06/02/2009
Last updated
07/07/2015
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