Individual
HOLLY STACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 BRIARCLIFF AVE, OAK RIDGE, TN 37830-8731
(865) 481-6009
Mailing address
1060 WORLDS FAIR PARK DR UNIT 15, KNOXVILLE, TN 37916-2055
(865) 309-2519
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7964
TN
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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