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Individual

HOLLY DODD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
480 S COMMERCE AVE STE F, FRONT ROYAL, VA 22630-3093
(540) 636-3500
(540) 636-3502
Mailing address
140 DAVIDSON LN, EDINBURG, VA 22824-2617
(540) 984-4914

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305202752
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102809
BCBS AQUATIC
VA
01
142752
BCBS INDIVIDUAL
VA
01
150718500
DEPT OF LABOR
VA
01
16040
COMMUNITY HEALTH
VA
01
194082
BCBS GROUP # FR
VA
01
194083
BCBS GROUP # WI
VA
01
194085
BCBS GROUP # WS
VA
01
388826
MAMSI
VA
01
4576361
AETNA
VA
01
541966445
UHC
VA
Enumeration date
09/28/2006
Last updated
07/08/2007
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