Individual
SAMANTHA RAE HOLLEKIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1105 E FITZGERALD ST, BANGS, TX 76823-3232
(325) 752-6321
Mailing address
171 INDIANA ST, PALERMO, ND 58769-9305
(701) 629-0497
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2092222
TX
225200000X
Physical Therapy Assistant
A1569
MN
Other
Enumeration date
08/17/2012
Last updated
08/17/2012
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