Individual
JERRY LYNN HOLLANDSWORTH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
700 RANDOLPH ST, RADFORD, VA 24141-2430
(540) 633-3708
Mailing address
1129 MACKS MOUNTAIN RD NW, INDIAN VALLEY, VA 24105-3125
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601670
VA
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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