Individual
MICHAEL HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
32730 WALKER RD, SUITE 1 BUILDING 1, AVON LAKE, OH 44012-4100
(440) 319-7157
Mailing address
271 ISLAND DR, ELYRIA, OH 44035-8912
(440) 319-7157
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33-016685
OH
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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