Individual
HOLLY WALDREP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
311 N DAWSON ST, THOMASVILLE, GA 31792-5132
(229) 226-4114
(229) 226-6480
Mailing address
PO BOX 1681, THOMASVILLE, GA 31799-1681
(229) 226-4114
(229) 226-6480
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006165
GA
Other
Enumeration date
08/01/2006
Last updated
12/08/2010
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