Individual
BEVERLY HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1414 GAY RD STE 203, WINTER PARK, FL 32789-2928
(321) 356-5177
(877) 325-2279
Mailing address
1328 WINNIFRED ST, ORLANDO, FL 32805-3771
(321) 356-5177
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA74582
FL
Other
Enumeration date
06/16/2016
Last updated
11/02/2020
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