Individual
ELAINE ADELE HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5400 KENTUCKY ST, SOUTH CHARLESTON, WV 25309-1006
(304) 415-5406
Mailing address
5400 KENTUCKY ST, SOUTH CHARLESTON, WV 25309-1006
(304) 415-5406
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001384
WV
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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