Individual
HOLLY RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-5586
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1302860
TX
225100000X
Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
1302860
TX
Other
Enumeration date
09/10/2016
Last updated
11/06/2023
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