Individual
HOLLY MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2300 HAGGERTY RD STE 1110, W BLOOMFIELD, MI 48323-2185
(248) 669-2000
(248) 669-2110
Mailing address
2300 HAGGERTY RD STE 1110, W BLOOMFIELD, MI 48323-2185
(248) 669-2000
(248) 669-2110
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003415
MI
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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