Individual
STACY HOLLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
806 MAGNOLIA AVE, CAROLINA BEACH, NC 28428-4319
(704) 576-9433
Mailing address
806 MAGNOLIA AVE, CAROLINA BEACH, NC 28428-4319
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3008
NC
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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