Individual
MR. JEFFREY C. HOLLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
747 S STATE ROAD 7, PLANTATION, FL 33317-4055
(954) 316-1131
(954) 316-1141
Mailing address
1938 MCKINLEY ST, HOLLYWOOD, FL 33020-3138
(954) 921-2497
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
20815
FL
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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