Individual
DR. MARK HOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
7400 N LA CHOLLA BLVD, TUCSON, AZ 85741-2306
(520) 531-0305
(520) 742-4907
Mailing address
7400 N LA CHOLLA BLVD, TUCSON, AZ 85741-2306
(520) 531-0305
(520) 742-4907
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9581
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9581
ARIZONA LICENSE
AZ
Enumeration date
08/21/2013
Last updated
08/26/2014
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