Individual
MARLECIA HOLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2249 MOONLIGHT DR, NORTH POLE, AK 99705-5892
(740) 262-8210
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
188671
AK
Other
Enumeration date
03/09/2022
Last updated
09/24/2024
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