Individual
HOLLY EDWARDS DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1 BARQUE DR, PLYMOUTH, MA 02360-1703
(774) 283-1264
Mailing address
1 BARQUE DR, PLYMOUTH, MA 02360-1703
(774) 283-1264
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2822
MA
Other
Enumeration date
04/29/2012
Last updated
04/29/2012
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