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Individual

CHARLES E HOLLIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
40497 BLACK BAYOU EXT, SUITE A, GONZALES, LA 70737
(225) 644-0390
(225) 644-8283
Mailing address
40497 BLACK BAYOU EXT, SUITE A, GONZALES, LA 70737
(225) 644-0390
(225) 644-8283

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02889R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
68 0567729
TAX ID
LA
Enumeration date
01/31/2007
Last updated
05/22/2008
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