Individual
GREGORY HOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 KATHRYN DR STE D, LEWISVILLE, TX 75067-4200
(800) 972-0643
Mailing address
4251 FM 2181, CORINTH, TX 76210-4219
(800) 972-0643
(214) 279-5032
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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