Individual
HOLLI DAWN WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1205 MCLAIN ST, NEWPORT, AR 72112-3533
(870) 934-8221
Mailing address
13341 DIXIE LN, TRUMANN, AR 72472-8551
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1984
AR
Other
Enumeration date
04/10/2007
Last updated
07/09/2007
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