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Individual

MRS. FAITH STIDHAM HOLLINGSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
209 FITNESS WAY, SUITE D, ATHENS, AL 35611-2451
(256) 233-9148
(256) 233-9164
Mailing address
209 FITNESS WAY, SUITE D, ATHENS, AL 35611-2451
(256) 233-9148
(256) 233-9164

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PTH4289
AL
225100000X
Physical Therapist
Primary
PTH7183
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTH4289
PHYSICAL THERAPIST LICENS
AL
Enumeration date
05/02/2007
Last updated
02/18/2015
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