Individual
MRS. MELODY ALICE HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
945 DUKE ST, LEBANON, PA 17042-7216
(717) 274-1495
Mailing address
135 VILLAGE CT, LEBANON, PA 17042-4486
(717) 279-1264
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1002407
PA
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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