Individual
HOLLY JONELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1112 16TH ST NW, STE 200, WASHINGTON, DC 20036-4823
(202) 223-1737
(202) 223-1738
Mailing address
1112 16TH ST NW, STE 200, WASHINGTON, DC 20036-4823
(202) 223-1737
(202) 223-1738
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1664
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PT6111
—
AK
Enumeration date
12/27/2006
Last updated
06/05/2009
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