Individual
MRS. LESLIE R. HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
145 JAMES PL, MAITLAND, FL 32751-4580
(407) 222-3048
Mailing address
145 JAMES PL, MAITLAND, FL 32751-4580
(407) 222-3048
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3110
FL
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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