Individual
LYDIA HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1114 W JACKSON ST, OZARK, MO 65721-9164
(417) 581-1234
Mailing address
417 W IVY CREEK DR, OZARK, MO 65721-7984
(417) 825-4590
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2012027739
MO
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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