Individual
MRS. SANDRA P HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
440 GROVE ST, WORCESTER, MA 01605-1268
(508) 852-8209
Mailing address
38 SW MAIN ST, DOUGLAS, MA 01516-2502
(508) 579-0194
(508) 476-3227
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MT5251
MA
225700000X
Massage Therapist
Primary
MT5251
MA
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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