Individual
MARY LOUISE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3511 OUR ST, HENRYVILLE, IN 47126-8887
(502) 419-3023
Mailing address
3511 OUR STREET, HENRYVILLE, IN 47126
(502) 419-3023
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
06001986A
IN
225200000X
Physical Therapy Assistant
Primary
A01044
KY
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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