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Individual

BRIAN HOLADAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
801 EUCLID AVE, CAMERON, MO 64429-2003
(816) 596-6870
Mailing address
801 EUCLID AVE, CAMERON, MO 64429-2003
(816) 596-6870

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
14-02561
KS
225200000X
Physical Therapy Assistant
Primary
2013041292
MO

Other

Enumeration date
01/06/2015
Last updated
01/06/2015
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