Individual
JENNIFER LYNN HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E FERGUSON ST, TYLER, TX 75702-5759
(877) 688-2520
Mailing address
100 E FERGUSON ST, TYLER, TX 75702-5759
(877) 688-2520
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217524
TX
Other
Enumeration date
08/23/2022
Last updated
08/27/2022
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