Individual
MRS. AUTUMN LEE HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1102 W TRAVIS ST, FREDERICKSBURG, TX 78624
(830) 997-3781
(830) 997-3786
Mailing address
1102 W TRAVIS ST, FREDERICKSBURG, TX 78624
(830) 997-3781
(830) 997-3786
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2034999
TX
Other
Enumeration date
10/09/2007
Last updated
03/28/2017
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