Individual
JADE HOLLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5370 HILL HARPER RD, RISON, AR 71665-9115
(870) 370-4195
Mailing address
5370 HILL HARPER RD, RISON, AR 71665-9115
(870) 370-4195
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2163041
TX
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
07/23/2021
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