Individual
CHLOE HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
83 E CENTER ST, MOAB, UT 84532-2444
(435) 210-1985
Mailing address
727 PALISADE DR, MOAB, UT 84532-2030
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10254816-2402
UT
225200000X
Physical Therapy Assistant
PTA.0014050
CO
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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