Individual
EDWIN BRINT HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(850) 881-4327
Mailing address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(850) 881-4327
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29942
FL
225200000X
Physical Therapy Assistant
PTA8654
AL
Other
Enumeration date
10/21/2020
Last updated
05/31/2022
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