Individual
HOLLY LANE KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
371 CORAL AVE, RAMROD KEY, FL 33042-5323
(850) 419-4191
Mailing address
371 CORAL AVE, RAMROD KEY, FL 33042-5323
(850) 419-4191
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 22614
FL
Other
Enumeration date
12/02/2012
Last updated
12/02/2012
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