Individual
HOLLY D WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 REYNOLDA RD, WINSTON SALEM, NC 27106-3863
(336) 722-2224
Mailing address
379 CRESTWOOD DR, PILOT MOUNTAIN, NC 27041-9340
(336) 972-8918
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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