Individual
MISS HOLLY WOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1501 W GIRARD AVE APT D, PHILADELPHIA, PA 19130-1634
(207) 939-1348
Mailing address
1501 W GIRARD AVE APT D, PHILADELPHIA, PA 19130-1634
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004700
PA
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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