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Individual

LOUIS HOLLINGSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2124 EDISON AVE, GRANITE CITY, IL 62040-4717
(636) 856-4192
Mailing address
2124 EDISON AVE, GRANITE CITY, IL 62040-4717
(636) 856-4192

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160005292
IL

Other

Enumeration date
11/17/2021
Last updated
11/17/2021
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