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Individual

HEATHER N HOLT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
293 COUNTY ROAD 1400, MOOREVILLE, MS 38857-6919
(662) 416-5012
Mailing address
293 CR 1400, MOOREVILLE, MS 38857

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4210
MS

Other

Enumeration date
12/01/2010
Last updated
12/01/2010
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