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Individual

MR. JORDAN L HOLLOWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1861 WESTEN ST STE B, BOWLING GREEN, KY 42104-4151
(270) 904-2753
(270) 904-4680
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
(423) 238-8930
(423) 254-5217

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007275
KY

Other

Enumeration date
09/11/2017
Last updated
02/14/2020
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