Individual
JACQUELYN NICOLE HOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2910 MORGAN RD STE 110, BESSEMER, AL 35022-6476
(205) 230-0400
(205) 230-0410
Mailing address
8205 PRESIDENTS DR, HUMMELSTOWN, PA 17036-8621
(717) 839-2159
(717) 565-1104
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA9422
AL
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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