Individual
MS. ALICE HOLEJSOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1102 W MACARTHUR ST, SHAWNEE, OK 74804-1743
(405) 878-8193
(405) 878-3487
Mailing address
1102 W MACARTHUR ST, SHAWNEE, OK 74804-1743
(405) 878-8193
(405) 878-3487
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
810
OK
Other
Enumeration date
03/07/2008
Last updated
03/07/2008
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