Individual
MITCHELL ALEXANDER HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5600 CITY AVE, PHILADELPHIA, PA 19131-1308
(248) 410-2922
Mailing address
2630 W CHESTER PIKE APT F3, BROOMALL, PA 19008-2125
(248) 410-2922
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005616
PA
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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